MRS. DANA JILL WALLACE (MS, OTR/L) – Occupational Therapist, NPI 1073730636

Occupational Therapist

MRS. DANA JILL WALLACE (MS, OTR/L) is a healthcare provider. based in Ashburn, Virginia. specializing in Occupational Therapist. They hold the professional credentials MS, OTR/L. They hold a License No. OT004212 (GA). The NPI Number for MRS. DANA JILL WALLACE (MS, OTR/L) is 1073730636

Main info

Female

21 Years Of Experience

Accepts Medicare Assignment

Name

MRS. DANA JILL WALLACE (MS, OTR/L)

NPI

1073730636

Phone

(703) 544-7171

Address

20925 PROFESSIONAL PLAZA

Enumeration Date

18 April 2007

Last Update Date

1 August 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7035447171

Graduation Year

2005 (21 years ago)

PAC ID

5890941181

Group Practice PAC ID

4789803479

Professional Enrollment ID

I20140219000091

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience76

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MRS. DANA JILL WALLACE (MS, OTR/L)

20925 PROFESSIONAL PLAZA
SUITE 300
ASHBURN, VA 20147
Phone: (703) 544-7171
Fax: (703) 997-4450
Mailing address matches the actual address.

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.

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 20147)

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Provider's Procedures

MRS. DANA JILL WALLACE (MS, OTR/L) performs procedures in Occupational Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OCCUPATIONAL THERAPY	VA	97110	Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	588	49

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: 4789803479View full group profile

Name	Specialty	State
CHANELE ELIZABETH ANDERSEN	-	VA

Reviews

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Frequently asked questions

How is MRS. DANA JILL WALLACE (MS, OTR/L) identified in CMS data?

CMS-hosted NPPES data lists MRS. DANA JILL WALLACE (MS, OTR/L) with NPI 1073730636.

Does the file indicate MRS. DANA JILL WALLACE (MS, OTR/L) is practicing under active NPI?

Directory data currently reports MRS. DANA JILL WALLACE (MS, OTR/L) as active.

What taxonomy line describes MRS. DANA JILL WALLACE (MS, OTR/L)?

For research purposes, treat MRS. DANA JILL WALLACE (MS, OTR/L) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect MRS. DANA JILL WALLACE (MS, OTR/L) on a map?

Expect Ashburn, Virginia as a primary anchor for MRS. DANA JILL WALLACE (MS, OTR/L) unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.