MRS. JACQUELINE D STROUD (OT/L) – Occupational Therapist, NPI 1134442601

MRS. JACQUELINE D STROUD (OT/L) is a healthcare provider. based in Collinsville, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT/L. They hold a License No. 056006684 (IL). The NPI Number for MRS. JACQUELINE D STROUD (OT/L) is 1134442601

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELINE D STROUD (OT/L)
NPI
1134442601
Phone
(618) 791-3923
Address
118 ROGER DR
Enumeration Date
11 March 2010
Last Update Date
11 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183075945
Graduation Year
2002 (24 years ago)
PAC ID
9133654304
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20241125002169
Address ID
IL620255589ED1111XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MRS. JACQUELINE D STROUD (OT/L)

  • 118, Roger Drive, Collinsville, Madison County, Illinois, 62234, United States

    COLLINSVILLE, IL 622345814

    Phone: (618) 791-3923

    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: 2024-11-25

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
I20241125002169IOccupational 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 62234)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Can I cross-check MRS. JACQUELINE D STROUD (OT/L) using NPI 1134442601?
NPI 1134442601 belongs to MRS. JACQUELINE D STROUD (OT/L); compare other details if you need extra assurance.
Would MRS. JACQUELINE D STROUD (OT/L) appear as active to a payer?
You can treat MRS. JACQUELINE D STROUD (OT/L) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. JACQUELINE D STROUD (OT/L)?
MRS. JACQUELINE D STROUD (OT/L)'s record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is MRS. JACQUELINE D STROUD (OT/L) located near Collinsville?
MRS. JACQUELINE D STROUD (OT/L) currently maps to Collinsville, Illinois in this extract.
When was this NPI issued?
Enumeration for MRS. JACQUELINE D STROUD (OT/L) is noted as March 11, 2010 where the registry provides it.

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