TERRY WALLACE (LOT) – Occupational Therapist, NPI 1639112071

TERRY WALLACE (LOT) is a healthcare provider. based in Humble, Texas. specializing in Occupational Therapist. They hold the professional credentials LOT. They hold a License No. 1041100564 (TX). The NPI Number for TERRY WALLACE (LOT) is 1639112071

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
TERRY WALLACE (LOT)
NPI
1639112071
Phone
(281) 361-3829
Address
2154 RIVER VILLAGE DR
Enumeration Date
14 June 2006
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813489588
Graduation Year
1991 (35 years ago)
PAC ID
5597675017
Group Practice PAC ID
9133039647
Professional Enrollment ID
I20120511000050
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for TERRY WALLACE (LOT)

  • 2154 RIVER VILLAGE DR

    HUMBLE, TX 773391770

    Phone: (281) 361-3829

    Type: Mailing

  • 605 ROCKMEAD DR

    SUITE 200

    HUMBLE, TX 773392254

    Phone: (281) 348-9588

    Fax: (281) 348-2150

    Type: Location

  • 2411 FIR GROVE DR

    KINGWOOD, TX 773391899

    Phone: (832) 867-2636

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77339)

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Provider's Procedures

TERRY WALLACE (LOT) performs procedures in Occupational Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYTX97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes40552

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: 9133039647View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeOK
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

How is TERRY WALLACE (LOT) identified in CMS data?
CMS-hosted NPPES data lists TERRY WALLACE (LOT) with NPI 1639112071.
Does the file indicate TERRY WALLACE (LOT) is practicing under active NPI?
Directory data currently reports TERRY WALLACE (LOT) as active.
What healthcare role does TERRY WALLACE (LOT) hold?
Scheduling teams often label TERRY WALLACE (LOT) under Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is TERRY WALLACE (LOT) based?
TERRY WALLACE (LOT) is tied to Humble, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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