MRS. TAMARA PATOCKA WALES (O.T.) – Occupational Therapist, NPI 1487772117

MRS. TAMARA PATOCKA WALES (O.T.) is a healthcare provider. based in Stillwater, Oklahoma. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials O.T.. They hold a License No. 1043 (OK). The NPI Number for MRS. TAMARA PATOCKA WALES (O.T.) is 1487772117

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMARA PATOCKA WALES (O.T.)
NPI
1487772117
Phone
(405) 707-0779
Address
4705 W 44TH ST
Enumeration Date
27 March 2007
Last Update Date
25 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055642701
Graduation Year
1999 (27 years ago)
PAC ID
2365775798
Group Practice PAC ID
6002199494
Professional Enrollment ID
I20190617002861
Address ID
OK740755524ST120XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

98 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MRS. TAMARA PATOCKA WALES (O.T.)

  • 4705 W 44TH ST

    STILLWATER, OK 740742083

    Phone: (405) 707-0779

    Type: Mailing

  • 120 N PERKINS RD STE F

    STILLWATER, OK 740755524

    Phone: (405) 564-2701

    Type: Location

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: 2019-06-17

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
I20190617002861IOccupational Therapist In Private PracticeOKTBD

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
97140Therapy procedure using manual technique, each 15 minutes1,03252$0
97530Therapy procedure using functional activities62256$0
97166Evaluation for occupational therapy, typically 45 minutes5146$0
View full utilization report →

Insurance plans in this area (ZIP 74074)

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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: 6002199494View full group profile
NameSpecialtyState
Qualified Speech Language PathologistOK
-OK
Qualified Speech Language PathologistOK
Qualified Speech Language PathologistOK
-OK
Qualified Speech Language PathologistOK

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. TAMARA PATOCKA WALES (O.T.)?
NPI 1487772117 is assigned to MRS. TAMARA PATOCKA WALES (O.T.) under the national enumeration system.
Is MRS. TAMARA PATOCKA WALES (O.T.) currently active in the NPI registry?
CMS-published data lists MRS. TAMARA PATOCKA WALES (O.T.) as an active registrant.
Can you summarize MRS. TAMARA PATOCKA WALES (O.T.)'s specialty in plain language?
Clinically, the directory lists MRS. TAMARA PATOCKA WALES (O.T.) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MRS. TAMARA PATOCKA WALES (O.T.)'s primary listing?
We display Stillwater, Oklahoma because that is what the record indicates for MRS. TAMARA PATOCKA WALES (O.T.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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