Waller Occupational Therapy and Consulting, LLC
NPI 1003148289ActiveOrganization· Occupational Therapist· Macon, GA
Occupational Therapist in Macon, Georgia, registered in NPPES in February 2010. The authorized official on file is Eulanda Lara Waller, OTR/L, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003148289 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 12, 2010 |
| Last updated in NPPES | Feb 12, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT003394 | GA |
| Occupational Therapist, Environmental Modification | 225XE0001X | OT003394 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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