JAN WALDT (OT) – Occupational Therapist, NPI 1043579683
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
486 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for JAN WALDT (OT)
3870 PLEASANT HILL RD
SUITE 1
DULUTH, GA 300964807
Phone: (404) 425-1100
Fax: (404) 425-1181
Type: Mailing
3870 Pleasant Hill Rd
Suite 1
Duluth, GA 300964807
Phone: (404) 425-1100
Fax: (404) 425-1181
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
727 SE MAIN ST STE 200
SIMPSONVILLE, SC 296813262
Phone: (864) 454-6670
Fax: (864) 454-6675
Type: Location
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: 2023-07-24
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 |
|---|---|---|---|---|
| I20230724002636 | I | Occupational Therapist In Private Practice | SC | 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 | 92 | 21 | $0 |
| 97530 | Therapy procedure using functional activities | 71 | 20 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 49 | 18 | $0 |
Insurance plans in this area (ZIP 30096)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OCCUPATIONAL THERAPY | GA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 181 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | SC | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | IL | |
| - | WV | |
| Physical Therapist In Private Practice | NY | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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