Mary Wallace, OTR
Occupational Therapist · Saint Charles, MO
Mary Wallace, OTR is an occupational therapist with a practice address in Saint Charles, Missouri, and NPI 1689398141, issued on Sep 28, 2022. Check the license (Missouri 2022037104, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Wallace
- Credential
- OTR
- Primary taxonomy
- Occupational Therapist 225X00000X
- License number
- 2022037104 MO
Self-reported in NPPES; status is on the state search - Practice location
- 2150 W Randolph St, Saint Charles, MO 63301
- Phone
- (636) 946-4966
- Enumerated
- Sep 28, 2022
- Record last updated
- Apr 14, 2023
- Medicare enrollment
- Enrolled (PECOS I20221007001740); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest occupational therapist records → All 2,771 in Missouri → Look up another NPI →
Also registered at 2150 W Randolph St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Laura Siddle, MOT/R, CLCOccupational Therapist1063162014
- Paige Spry, NPFamily Nurse Practitioner1073380143
Verify Mary Wallace in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2022037104Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Fox Rehabilitation Services OT MO LLCSaint Louis, MO
- Legacy Healthcare Services IncEllisville, MO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Wallace among 2,771 occupational therapist records in Missouri
Mary Wallace, OTR is one of 2,771 occupational therapist records with a practice address in Missouri. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 79% of them.
- NPI issued2022 · 79% of these records are older, 17% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 10% of these records are
- Graduated2022 · median 2016 among the 269 with a school on file
- Record last updated2023 · 67% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225X00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
80 occupational therapist records list a practice address in Saint Charles
They are 80 of the 1,547 NPPES records with a practice address in Saint Charles, and 2,771 occupational therapist records in Missouri.
All 2,771 in Missouri → Every provider in Saint Charles → Occupational Therapist nationwide →
The 8 occupational therapist records with the nearest ZIP codes
- Marianne Belcke, OTRLSaint Charles, MO 633011144366998
- Andrea Binion, OTRSaint Charles, MO 633011568554442
- Kristen BowdernSaint Charles, MO 633011730693789
- Barbara Cromer, OTRSaint Charles, MO 633011992033039
- Kimberly KarrSaint Charles, MO 633011871809541
- Kimberly Lahm, MOTR/LSaint Charles, MO 633011962673467
- Elizabeth Logel, MOTR/LSaint Charles, MO 633011528512027
- Madeline Myers, OTR/LSaint Charles, MO 633011447895230
Common questions
What is Mary Wallace, OTR's NPI number?
Mary Wallace, OTR's National Provider Identifier (NPI) is 1689398141, issued on Sep 28, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Mary Wallace, OTR located?
The NPPES record lists a practice address at 2150 W Randolph St, Saint Charles, MO, 63301. Phone: (636) 946-4966. Providers update this record themselves, so call before visiting.
How can I verify Mary Wallace, OTR's license?
NPPES lists Missouri license number 2022037104, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.