JESSICA SMITH (OTR/L) – Occupational Therapist, NPI 1417129669

JESSICA SMITH (OTR/L) is a healthcare provider. based in Saint cloud, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 5654 (FL). The NPI Number for JESSICA SMITH (OTR/L) is 1417129669

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA SMITH (OTR/L)
NPI
1417129669
Phone
(321) 505-4265
Address
11340 W BROADSTREAM DR
Enumeration Date
27 March 2008
Last Update Date
16 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2018 (8 years ago)
PAC ID
3173961521
Group Practice PAC ID
7810395696
Professional Enrollment ID
I20240403003355
Address ID
FL34238XXXXSAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for JESSICA SMITH (OTR/L)

  • 11340 W BROADSTREAM DR

    SAINT CLOUD, FL 347739207

    Phone: (321) 505-4265

    Type: Mailing

  • 1485 INTERNATIONAL PKWY

    HEATHROW, FL 327465303

    Phone: (800) 798-6035

    Type: Location

  • 1485 International Pkwy

    Heathrow, FL 327465303

    Phone: (800) 798-6035

    Type: Location

  • 750 BAYFRONT TER

    SEBASTIAN, FL 329585904

    Phone: (321) 505-4265

    Type: Mailing

  • 7410 CRABGRASS RD

    SAINT CLOUD, FL 347739220

    Phone: (321) 505-4265

    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: 2024-04-03

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
I20240403003355IOccupational Therapist In Private PracticeFLTBD

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 34773)

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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: 7810395696View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeNM
Occupational Therapist In Private PracticeNY
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeMD
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does JESSICA SMITH (OTR/L) have a public NPI I can cite?
Public records show JESSICA SMITH (OTR/L) under NPI 1417129669.
Is JESSICA SMITH (OTR/L) currently accepting referrals based on NPI status?
Registry metadata lists JESSICA SMITH (OTR/L) as active.
How should patients interpret JESSICA SMITH (OTR/L)'s specialty?
The extract shows Occupational Therapist for JESSICA SMITH (OTR/L). Clinical services aligned with this taxonomy classification.
What city is tied to JESSICA SMITH (OTR/L)?
The directory associates JESSICA SMITH (OTR/L) with Saint Cloud, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for JESSICA SMITH (OTR/L)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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