Doctor profile · Federal record

Dr. Beverly Wallace, OTR/L

Occupational Therapist · Bradenton, FL

  • NPI 1174595367
  • 20 yrs on file
  • Female
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3911 Golf Park Loop, Suite #105
Bradenton, FL 342033453
(941) 756-1003
fax (941) 756-6003
Mailing address
6477 Indigo Bunting Pl
Bradenton, FL 342028246

Credentials & registration

NPPES · NUCC
NPI registered
February 2006 — 20 yrs on file
Profile last updated
July 9, 2007
Specialty taxonomy
225X00000X — NUCC code
State license (1)
Florida #OT9730

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174595367. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
599
Distinct HCPCS
4
Medicare allowed
$16,857
HCPCS Description Services Patients Avg allowed
97530 Therapy procedure using functional activities 290 14 $29
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 162 14 $22
97535 Training for self-care or home management, each 15 minutes 130 13 $24
97166 Evaluation for occupational therapy, typically 45 minutes 17 12 $93

In context: peer comparison

Among 6 peers in this city , average services per provider: 535. This provider delivers 1.1× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Beverly Wallace's medical specialty?
Dr. Beverly Wallace practices Occupational Therapist in Bradenton, FL.
Where does Dr. Beverly Wallace practice?
Dr. Beverly Wallace practices at 3911 Golf Park Loop, Bradenton, FL 342033453. Office phone: 9417561003.
What is Dr. Beverly Wallace's NPI?
Dr. Beverly Wallace's National Provider Identifier (NPI) is 1174595367, issued by NPPES.
What procedures does Dr. Beverly Wallace commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Training for self-care or home management (HCPCS 97535). Source: CMS Medicare Physician & Other Practitioners file.