Mary Wallace, OTR
NPI 1689398141ActiveIndividual· Occupational Therapist· Saint Charles, MO
Occupational Therapist (OTR) with Legacy Healthcare Services Inc and 1 other group, practicing in Saint Charles, Missouri. Medicare paid $38,427 for services to 33 patients in 2024.
Overview
| NPI | 1689398141 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Sep 28, 2022 |
| Last updated in NPPES | Apr 14, 2023 |
| Certified by provider | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2022037104 | MO |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 1,953 across 8 procedure codes |
| Paid by Medicare | $38,427 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Fox Rehabilitation Services OT Mo LLCWashington, MO · 17 clinicians
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All 84 occupational therapists in Saint Charles · All occupational therapists in Missouri