NPI age
19 years
Enumerated 2007-01-17
● Active
Type 1 · Individual
Amy Catherine Wallace, O.T.
Wallace is 1 of 5 occupational therapist providers in Cumming and 1 of 87 in Georgia.
Primary specialty
Occupational Therapist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 87 active occupational therapist providers in Georgia.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
2920 Ronald Reagan Blvd, Ste 110
Cumming, GA 30041
Mailing address
2920 Ronald Reagan Blvd, Ste 110
Cumming, GA 30041
Specialties
-
Occupational Therapist PrimaryDefinition to come...
-
Occupational TherapistAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 899040116A | |
| 01 (GA) | 1376695627 | BCBS |
| 01 | 611446156001 | TRICARE NUMBER |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 87 Occupational Therapist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.