Blake Wallace
NPI 1821617663 · Occupational Therapy Assistant · Germantown, TN
Blake Wallace is a Occupational Therapy Assistant provider in Germantown, TN (NPI 1821617663).
Provider details
- NPI number
- 1821617663
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- TA3704 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-12
- Last updated
- 2020-04-12
- Certified
- 2020-04-12
Frequently asked questions
- What is Blake Wallace's NPI number?
- Blake Wallace's National Provider Identifier (NPI) is 1821617663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Wallace's specialty?
- Blake Wallace is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Blake Wallace located?
- Blake Wallace's practice location on file with NPPES is 7820 Walking Horse Cir, Germantown, TN 38138-2143.
- What is Blake Wallace's phone number?
- The practice phone number listed in the NPPES registry for Blake Wallace is (901) 752-2500.
- Is Blake Wallace's NPI active?
- Yes — Blake Wallace's NPI (1821617663) is active in the NPPES registry as of the last update on 2020-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.