JAY ALAN FORD (OTR) – Occupational Therapist, NPI 1679798391

JAY ALAN FORD (OTR) is a healthcare provider. based in Visalia, California. specializing in Occupational Therapist. They hold the professional credentials OTR. They hold a License No. 4938 (CA). The NPI Number for JAY ALAN FORD (OTR) is 1679798391

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JAY ALAN FORD (OTR)
NPI
1679798391
Phone
(559) 713-6806
Address
701 W CENTER AVE
Enumeration Date
16 April 2007
Last Update Date
5 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5596314588
Graduation Year
1986 (40 years ago)
PAC ID
6901866789
Group Practice PAC ID
3476465774
Professional Enrollment ID
I20041015000451
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 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041015000451IOccupational 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.

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

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: 3476465774View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do I look up JAY ALAN FORD (OTR) by NPI?
Use NPI 1679798391 when you need to reference JAY ALAN FORD (OTR) in forms, claims, or directories.
Is JAY ALAN FORD (OTR) currently active in the NPI registry?
CMS-published data lists JAY ALAN FORD (OTR) as an active registrant.
What does JAY ALAN FORD (OTR) treat or focus on?
Patients typically see JAY ALAN FORD (OTR) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place JAY ALAN FORD (OTR)?
The snapshot lists Visalia, California for JAY ALAN FORD (OTR); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.