GARRY KOVTUN (OT) – Occupational Therapist, NPI 1174931729

GARRY KOVTUN (OT) is a healthcare provider. based in West palm beach, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 46TR00658800 (NJ). The NPI Number for GARRY KOVTUN (OT) is 1174931729

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
GARRY KOVTUN (OT)
NPI
1174931729
Phone
(561) 432-0111
Address
5840 CORPORATE WAY STE 101
Enumeration Date
28 July 2014
Last Update Date
14 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4082688536
Graduation Year
2014 (12 years ago)
PAC ID
8628356938
Group Practice PAC ID
3971682311
Professional Enrollment ID
I20161020000988
Address ID
CA951233120SA5598XCEDR301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:11State licenses:4Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for GARRY KOVTUN (OT)

  • 5840 CORPORATE WAY STE 101

    WEST PALM BEACH, FL 334072040

    Phone: (561) 432-0111

    Fax: (561) 432-1075

    Type: Mailing

  • 6169 S JOG RD STE A11

    LAKE WORTH, FL 334676586

    Phone: (561) 432-0111

    Fax: (561) 432-1075

    Type: Location

  • 24051 NEWHALL RANCH RD

    VALENCIA, CA 913555702

    Phone: (661) 254-6364

    Fax: (661) 254-6787

    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.

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: 2016-10-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161020000988IOccupational 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33407)

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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: 3971682311View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
-CA
-CA

Reviews

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Frequently asked questions

How do payers reference GARRY KOVTUN (OT)?
For GARRY KOVTUN (OT), use NPI 1174931729 as the unique 10-digit identifier.
Is there an active status for GARRY KOVTUN (OT)?
For scheduling context, GARRY KOVTUN (OT) is shown as active in the registry.
What clinical focus is listed for GARRY KOVTUN (OT)?
At a glance, GARRY KOVTUN (OT) is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is GARRY KOVTUN (OT) located near West Palm Beach?
GARRY KOVTUN (OT) currently maps to West Palm Beach, Florida in this extract.
When was this NPI issued?
Enumeration for GARRY KOVTUN (OT) is noted as July 28, 2014 where the registry provides it.

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