JAY WALLACE YEAGER (COTA) – Specialist, NPI 1962696575

JAY WALLACE YEAGER (COTA) is a healthcare provider. based in Placentia, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials COTA. They hold a License No. OTA318 (CA). The NPI Number for JAY WALLACE YEAGER (COTA) is 1962696575

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
JAY WALLACE YEAGER (COTA)
NPI
1962696575
Phone
(714) 961-8288
Address
101 S KRAEMER BLVD STE 206
Enumeration Date
28 August 2007
Last Update Date
28 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7145562288
Graduation Year
1992 (34 years ago)
PAC ID
6002093564
Group Practice PAC ID
5991731655
Professional Enrollment ID
I20110609000250
Address ID
CA926264865CO1700XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for JAY WALLACE YEAGER (COTA)

  • South Kraemer Boulevard, Old Town Placentia, Placentia, Orange County, California, 92870, United States

    PLACENTIA, CA 928706110

    Phone: (714) 961-8288

    Mailing address matches the actual address.

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: 2011-06-09

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
I20110609000250IOccupational 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
97530Therapy procedure using functional activities45161$0
97140Therapy procedure using manual technique, each 15 minutes12129$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11928$0
97168Re-evaluation for occupational therapy, typically 30 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 92870)

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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: 5991731655View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
-CA
Occupational Therapist In Private PracticeCA
-CA
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Where can patients find JAY WALLACE YEAGER (COTA)'s NPI?
You can confirm JAY WALLACE YEAGER (COTA) with NPI 1962696575; it appears in the national provider directory.
Does this profile mean JAY WALLACE YEAGER (COTA) is currently active?
Yes — JAY WALLACE YEAGER (COTA) appears active in the national provider directory.
Can you summarize JAY WALLACE YEAGER (COTA)'s specialty in plain language?
Clinically, the directory lists JAY WALLACE YEAGER (COTA) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does JAY WALLACE YEAGER (COTA) practice in California?
You will see Placentia, California on file for JAY WALLACE YEAGER (COTA) alongside any extra practice locations.
Is JAY WALLACE YEAGER (COTA) a real provider?
This page reflects official NPPES data for NPI 1962696575. Always confirm identity and privileges with the practice and licensing boards.

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