Lisa Jean Wallace, COTA
NPI 1396368064ActiveIndividual· Occupational Therapy Assistant· North Plainfield, NJ
Occupational Therapy Assistant (COTA) in North Plainfield, New Jersey, licensed in NJ, with an NPI issued in May 2020.
Overview
| NPI | 1396368064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA |
| Sole proprietor | Yes |
| NPI issued | May 28, 2020 |
| Last updated in NPPES | May 28, 2020 |
| Certified by provider | May 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 46TA09127800 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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