MS. ANNE MARIE FULTZ (OTR) – Hand Occupational Therapist, NPI 1154446771
Hand Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA
Provider Addresses for MS. ANNE MARIE FULTZ (OTR)
6936 SHOEMAKE AVE
MODESTO, CA 953588595
Phone: (209) 544-9468
Fax: (209) 558-9649
Type: Mailing
830 SCENIC DR
MODESTO, CA 953506131
Phone: (209) 558-7472
Fax: (209) 558-8649
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.
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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: 2005-06-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050607000957 | I | Occupational Therapist In Private Practice | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,229 | 96 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 425 | 95 | $0 |
| 97018 | Application of hot wax bath | 264 | 62 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 56 | 52 | $0 |
| 97168 | Re-evaluation for occupational therapy, typically 30 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 95358)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | CA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 540 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Hand Surgery | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery | WA | |
| Occupational Therapist In Private Practice | NV | |
| Orthopedic Surgery | CA | |
| P O D I A T R Y | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA |
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