JAMES WALL – Counselor, NPI 1083167456

JAMES WALL is a healthcare provider. based in Cornish, Maine. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. OT4537 (ME). The NPI Number for JAMES WALL is 1083167456

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JAMES WALL
NPI
1083167456
Phone
(207) 625-4300
Address
16 OLD PIKE RD
Enumeration Date
2 August 2016
Last Update Date
8 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2076254300
Graduation Year
2023 (3 years ago)
PAC ID
0648624577
Group Practice PAC ID
4486686045
Professional Enrollment ID
I20230927000774
Address ID
ME040203506CO16XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

136 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in ME

Provider Addresses for JAMES WALL

  • 16 OLD PIKE RD

    CORNISH, ME 040203506

    Phone: (207) 625-4300

    Type: Location

  • 4460, Highland Drive, Millcreek, Salt Lake County, Utah, 84124, United States

    230

    SALT LAKE CITY, UT 841243543

    Phone: (888) 949-4864

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230927000774IOccupational Therapist In Private PracticeMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9614$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8414$0
97140Therapy procedure using manual technique, each 15 minutes6912$0
97165Evaluation for occupational therapy, typically 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 04020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486686045View full group profile
NameSpecialtyState
-ME
-ME
Physical Therapist In Private PracticeME
Physical Therapist In Private PracticeME

Reviews

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Frequently asked questions

What number should I use to identify JAMES WALL for billing?
Administrative and clinical systems typically use NPI 1083167456 for JAMES WALL.
Does the public listing show JAMES WALL as active?
JAMES WALL's NPI record reflects an active status in NPPES.
How should patients interpret JAMES WALL's specialty?
The extract shows Counselor for JAMES WALL. Clinical services aligned with this taxonomy classification.
Can patients visit JAMES WALL in Cornish, Maine?
For routing, start with Cornish, Maine for JAMES WALL, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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