JAY ALAN FORD (OTR) – Occupational Therapist, NPI 1679798391
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAY ALAN FORD (OTR)
701 W CENTER AVE
VISALIA, CA 932916015
Phone: (559) 713-6806
Fax: (559) 713-6809
Type: Mailing
1425 E PROSPERITY AVE
TULARE, CA 932748051
Phone: (559) 631-4588
Fax: (559) 271-6970
Type: Location
13020 N Telecom Pkwy
Temple Terrace, FL 336370925
Phone: (813) 978-9700
Fax: (813) 558-6187
Type: Location
909 N Dale Mabry Hwy
Tampa, FL 336091251
Phone: (813) 978-9700
Fax: (813) 558-6187
Type: Location
6015 Pointe West Blvd
Bradenton, FL 342095525
Phone: (941) 792-1404
Fax: (941) 761-0712
Type: Location
7940 Via Dellagio Way Ste 142
Orlando, FL 32819
Phone: (407) 745-4633
Fax: (407) 745-4635
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: 2004-10-15
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 |
|---|---|---|---|---|
| I20041015000451 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93291)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA |
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