MARCUS CHAVEZ (OTD, CLT) – Occupational Therapist, NPI 1609610609

MARCUS CHAVEZ (OTD, CLT) is a healthcare provider. based in Longmont, Colorado. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD, CLT. They hold a License No. 9671360 (ID). The NPI Number for MARCUS CHAVEZ (OTD, CLT) is 1609610609

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MARCUS CHAVEZ (OTD, CLT)
NPI
1609610609
Phone
(720) 986-0850
Address
1551 PROFESSIONAL LN UNIT 180
Enumeration Date
24 June 2024
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7209860850
Graduation Year
2022 (4 years ago)
PAC ID
4082151550
Group Practice PAC ID
4284069378
Professional Enrollment ID
I20250730003695
Address ID
ID83221XXXXBLXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:1State licenses:3Digital endpointsOther names

426 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for MARCUS CHAVEZ (OTD, CLT)

  • 1551 PROFESSIONAL LN UNIT 180

    LONGMONT, CO 805016970

    Phone: (720) 986-0850

    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: 2025-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20240801001789IOccupational Therapist In Private PracticeCOTBD
I20240812003677IOccupational Therapist In Private PracticeWYTBD
I20250730003695IOccupational Therapist In Private PracticeIDTBD

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 80501)

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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: 4284069378View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerUT
Nurse PractitionerCO
Physician AssistantCO
Emergency MedicineCO
Nurse PractitionerCO
Emergency Medicine, Internal Medicine, Family PracticeCO
Nurse PractitionerNM
Internal MedicineCO

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARCUS CHAVEZ (OTD, CLT)?
MARCUS CHAVEZ (OTD, CLT) — NPI 1609610609 — is the standard way to identify this listing.
Is MARCUS CHAVEZ (OTD, CLT) still practicing?
MARCUS CHAVEZ (OTD, CLT) is currently listed as active in the public NPI registry.
What taxonomy line describes MARCUS CHAVEZ (OTD, CLT)?
For research purposes, treat MARCUS CHAVEZ (OTD, CLT) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MARCUS CHAVEZ (OTD, CLT) based?
MARCUS CHAVEZ (OTD, CLT) is tied to Longmont, Colorado in the data we show; additional addresses may exist on the full record.
Why does MARCUS CHAVEZ (OTD, CLT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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