Mrs. Beverly Wallace
OTR/L | Occupational Therapist | 26+ years Exp
3911 Golf Park Loop, Suite #105, Bradenton
Florida, 34203-3453
941-756-1003 941-756-6003
Maps & DirectionsMrs. Beverly Wallace is a Bradenton, Florida based therapist with 26 years of experience in Occupational Therapy. She completed her graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Beverly Wallace is OT9730 for Occupational Therapy in Florida. Her current practice location is 3911 Golf Park Loop, Suite #105, Bradenton. Patients can reach her at 941-756-1003 or can fax her at 941-756-6003. Mrs. Beverly Wallace is OTR/L in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1174595367.
Mrs. Beverly Wallace provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Mrs. Beverly Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Beverly Wallace |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR/L |
| Experience: | 26+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2000 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3911 Golf Park Loop, Suite #105, Bradenton,
Florida, 34203-3453 |
| Phone: | 941-756-1003 |
| Fax: | 941-756-6003 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0840352118 |
| Enrollment ID: | I20081219000488 |
| NPI Number: | 1174595367 |
| NPI Enumeration Date: | 02 Feb, 2006 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Beverly Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| OT9730 | Occupational Therapy | Florida | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mrs. Beverly Wallace is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Active Living Rehabilitation Inc (2365352549) | 3 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Beverly Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Y902F | Other | Florida | BCBS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Beverly Wallace
6477 Indigo Bunting Pl,
Bradenton, Florida |
| Zip: | 34202-8246 |
| Phone Number: | 941-756-1003 |
| Fax Number: | 941-756-6003 |
Patients can reach Mrs. Beverly Wallace at
3911 Golf Park Loop, Suite #105, Bradenton, Florida or can
call to book an appointment on 941-756-1003.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.