Amy Ann Wallace, OTR-L
Occupational Therapist · South Lake Tahoe, CA
At a glance
10539 Professional Cir, South Lake Tahoe, CA 96150-3828
NPPES record updated Jul 24, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
10539 Professional Cir Suite 201South Lake Tahoe, CA 96150-3828
Additional reported practice locations
1749 N Stewart St Ste 50Carson City, NV 897062574
Phone: 7753488800
Fax: 8336871419 780 Vista Blvd Ste 100
Sparks, NV 894346677
Phone: 7753488800
Fax: 8336871419 935 Mica Dr Ste 13
Carson City, NV 897057181
Phone: 7757833065
Fax: 7752671829 155 Highway 50 Fl 2
Stateline, NV 894499816
Phone: 7755898953
Fax: 7755898920 1139 3Rd St
South Lake Tahoe, CA 961503465
Phone: 5305435706
Fax: 5305414130 2170 South Ave
South Lake Tahoe, CA 961507026
Phone: 5305435896
Fax: 5305446512
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2000
- CMS specialties
- Occupational Therapist In Private Practice
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Occupational Therapist
- Taxonomy code
- 225X00000X
- Enumeration date
- Dec 27, 2006
- Record updated
- Jul 24, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- OTR-L
Reported taxonomies and licenses
225X00000X
License reported: 3665 CA
225X00000X · Primary
License reported: 0721 NV
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
10539 Professional CirSuite 201
South Lake Tahoe, CA 96150-3828
- Phone
- (775) 348-8800
- Fax
- (833) 687-1419
Mailing address
PO BOX 9578SOUTH LAKE TAHOE, CA 96158
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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