MS. PATRICE ANNIE UDO (OTD) – Occupational Therapist, NPI 1053928291

MS. PATRICE ANNIE UDO (OTD) is a healthcare provider. based in San bernardino, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD. They hold a License No. 438578 (CA). The NPI Number for MS. PATRICE ANNIE UDO (OTD) is 1053928291

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. PATRICE ANNIE UDO (OTD)
NPI
1053928291
Phone
(909) 890-9030
Address
1845 BUSINESS CENTER DR STE 127
Enumeration Date
30 September 2020
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9098909030
Graduation Year
2020 (6 years ago)
PAC ID
9335558113
Group Practice PAC ID
9234022369
Professional Enrollment ID
I20210506002848
Address ID
CA925062161RI3400XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MS. PATRICE ANNIE UDO (OTD)

  • 1845 BUSINESS CENTER DR STE 127

    SAN BERNARDINO, CA 924083434

    Phone: (909) 890-9030

    Fax: (909) 890-4393

    Type: Location

  • 817 S ANAHEIM BLVD UNIT 103

    ANAHEIM, CA 928055295

    Phone: (951) 764-4489

    Type: Mailing

  • 1600 N BROADWAY STE 860

    SANTA ANA, CA 927063930

    Phone: (714) 831-5599

    Type: Location

  • 3400 Central Ave Ste 145

    Riverside, CA 925062161

    Phone: (951) 297-3399

    Fax: (951) 297-3404

    Type: Location

  • 100 N BARRANCA ST STE 380

    WEST COVINA, CA 917911637

    Phone: (626) 331-8355

    Fax: (626) 331-8165

    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: 2021-05-06

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
I20210506002848IOccupational Therapist In Private PracticeCATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15811$0
View full utilization report →

Insurance plans in this area (ZIP 92408)

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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: 9234022369View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. PATRICE ANNIE UDO (OTD)?
NPI 1053928291 is assigned to MS. PATRICE ANNIE UDO (OTD) under the national enumeration system.
Is MS. PATRICE ANNIE UDO (OTD) currently active in the NPI registry?
CMS-published data lists MS. PATRICE ANNIE UDO (OTD) as an active registrant.
What kind of provider is MS. PATRICE ANNIE UDO (OTD)?
The page reflects Occupational Therapist for MS. PATRICE ANNIE UDO (OTD). Clinical services aligned with this taxonomy classification.
Does MS. PATRICE ANNIE UDO (OTD) practice in California?
You will see San Bernardino, California on file for MS. PATRICE ANNIE UDO (OTD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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