Nicole Wallis
NPI 1629739206ActiveIndividual· Occupational Therapist· Greenwood, IN
Occupational Therapist with Chn Jmh Ventures LLC, practicing in Greenwood, Indiana. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1629739206 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 5, 2022 |
| Last updated in NPPES | Jan 5, 2022 |
| Certified by provider | Jan 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Occupational Therapist, Neurorehabilitation | 225XN1300X | — | — |
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) | Enrolled Practitioner - Occupational Therapist in Private Practice (IN) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Chn Jmh Ventures LLCGreenwood, IN · 19 clinicians
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