JELANI KEHINDE THORNTON (OT) – Occupational Therapist, NPI 1104951367

JELANI KEHINDE THORNTON (OT) is a healthcare provider. based in Peoria, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 056-007447 (IL). The NPI Number for JELANI KEHINDE THORNTON (OT) is 1104951367

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JELANI KEHINDE THORNTON (OT)
NPI
1104951367
Phone
(309) 691-1400
Address
6000 N ALLEN ROAD
Enumeration Date
21 February 2007
Last Update Date
31 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096911400
Graduation Year
2003 (23 years ago)
PAC ID
6406166958
Group Practice PAC ID
8022917715
Professional Enrollment ID
I20151112001712
Address ID
IL616143294PE6000XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for JELANI KEHINDE THORNTON (OT)

  • 6000 N ALLEN ROAD

    PEORIA, IL 616143294

    Phone: (309) 691-1400

    Mailing address matches the actual address.

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: 2015-11-12

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
I20151112001712IOccupational Therapist In Private PracticeILTBD

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 61614)

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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: 8022917715View full group profile
NameSpecialtyState
Orthopedic SurgeryIL
P O D I A T R YIL
Physician AssistantIL
Occupational Therapist In Private PracticeIL
Hand Surgery, Orthopedic SurgeryIL
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

How is JELANI KEHINDE THORNTON (OT) identified in CMS data?
CMS-hosted NPPES data lists JELANI KEHINDE THORNTON (OT) with NPI 1104951367.
Can I rely on JELANI KEHINDE THORNTON (OT) being an active provider?
As of the registry snapshot, JELANI KEHINDE THORNTON (OT) is marked active.
What is JELANI KEHINDE THORNTON (OT)'s specialty?
The listing groups JELANI KEHINDE THORNTON (OT) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect JELANI KEHINDE THORNTON (OT) on a map?
Expect Peoria, Illinois as a primary anchor for JELANI KEHINDE THORNTON (OT) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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