Individual Healthcare Provider
Amy Ann Wallace, OTR-L
Provider's NPPES record last updated: July 24, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1467517466
- Primary Specialty
- Occupational Therapist
- Practice Location
- South Lake Tahoe, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:34 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
An 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 World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Taxonomy code 225X00000X
Provider-Reported License Information
- Occupational Therapist (Nevada)
- 0721
- Occupational Therapist (California)
- 3665
Practice Locations
Practice Location
10539 Professional Cir
Suite 201
South Lake Tahoe, California 96150-3828
Phone: (775) 348-8800
Additional Practice Location
1749 N Stewart St Ste 50
Carson City, Nevada 89706-2574
Phone: (775) 348-8800
Fax: (833) 687-1419
Additional Practice Location
780 Vista Blvd Ste 100
Sparks, Nevada 89434-6677
Phone: (775) 348-8800
Fax: (833) 687-1419
Additional Practice Location
935 Mica Dr Ste 13
Carson City, Nevada 89705-7181
Phone: (775) 783-3065
Fax: (775) 267-1829
Additional Practice Location
155 Highway 50 Fl 2
Stateline, Nevada 89449-9816
Phone: (775) 589-8953
Fax: (775) 589-8920
Additional Practice Location
1139 3rd St
South Lake Tahoe, California 96150-3465
Phone: (530) 543-5706
Fax: (530) 541-4130
Additional Practice Location
2170 South Ave
South Lake Tahoe, California 96150-7026
Phone: (530) 543-5896
Fax: (530) 544-6512
Record Information
- Enumeration Date
- December 27, 2006
- Provider's NPPES Record Last Updated
- July 24, 2023
- Certification Date
- July 20, 2023
- NPISignal NPPES Dataset
- August 2026
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