JO ELLEN TENNYSON-SAMSON (OTR) – Occupational Therapist, NPI 1942394838
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 JO ELLEN TENNYSON-SAMSON (OTR)
PO BOX 1758
CAPITOLA, CA 950101758
Phone: (831) 531-8277
Fax: (831) 576-7717
Type: Mailing
3031 N MAIN ST
SOQUEL, CA 950732204
Phone: (831) 458-6230
Type: Location
517, 3rd Street, Old Town, Eureka, Humboldt County, California, 95501, United States
EUREKA, CA 955015105
Phone: (707) 599-4074
Type: Location
Jack in the Box, 800, East Cypress Avenue, Redding, Shasta County, California, 96002, United States
REDDING, CA 960496084
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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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: 2005-04-20
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 |
|---|---|---|---|---|
| I20050420000765 | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 384 | 77 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 108 | 36 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 92 | 21 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 81 | 30 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 95010)
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