MS. BLAIR RENEE CHURCH (OTR/L) – Occupational Therapist, NPI 1023621224
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CT
Provider Addresses for MS. BLAIR RENEE CHURCH (OTR/L)
415 PEQUOT AVE
NEW LONDON, CT 063204407
Phone: (860) 608-5498
Type: Mailing
14 2ND ST
STAMFORD, CT 069055151
Phone: (203) 883-1510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2020-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200909000939 | I | Occupational Therapist In Private Practice | CT | 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 | 1,855 | 80 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,322 | 69 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 1,207 | 75 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 595 | 60 | $0 |
| 97542 | Evaluation for wheelchair, each 15 minutes | 86 | 12 | $0 |
Insurance plans in this area (ZIP 06320)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | CT | |
| Occupational Therapist In Private Practice | CT | |
| Occupational Therapist In Private Practice | CT | |
| - | CT | |
| Occupational Therapist In Private Practice | CT | |
| Occupational Therapist In Private Practice | NJ | |
| - | CT | |
| Occupational Therapist In Private Practice | NJ | |
| Occupational Therapist In Private Practice | CT | |
| - | CT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.