JAN M. SOARES (OTR/L) – Hand Occupational Therapist, NPI 1063409399
Hand Occupational Therapist
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Profile Insights
NPPES metrics only — not quality of care.
249 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CT
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Provider Addresses for JAN M. SOARES (OTR/L)
195, Eastern Boulevard, Addison, Glastonbury, Capitol Planning Region, Connecticut, 06033, United States
SUITE 200
GLASTONBURY, CT 060331208
Phone: (860) 527-7161
Fax: (860) 652-8411
Type: Mailing
622 HEBRON AVE STE 205
GLASTONBURY, CT 060332421
Phone: (860) 527-7161
Fax: (860) 652-8411
Type: Mailing
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.
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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: 2007-08-16
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 |
|---|---|---|---|---|
| I20070816000391 | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 40 | 11 | $0 |
Insurance plans in this area (ZIP 06033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT | |
| Orthopedic Surgery, Hand Surgery | CT | |
| Physical Therapist In Private Practice | CT | |
| - | CT | |
| Occupational Therapist In Private Practice | CT | |
| Occupational Therapist In Private Practice | CT | |
| Orthopedic Surgery, Hand Surgery | CT | |
| Hand Surgery, Orthopedic Surgery, Plastic And Reconstructive Surgery | CT |
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