MS. SARAH RENEE SURPRENANT (OTR/L) – Occupational Therapist, NPI 1689859944
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for MS. SARAH RENEE SURPRENANT (OTR/L)
3905 W ERNESTINE DR
SUITE B
MARION, IL 629595800
Phone: (618) 993-6237
Fax: (618) 997-3529
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.
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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: 2023-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20081126000417 | I | Occupational Therapist In Private Practice | IL | TBD |
| I20230411000266 | I | Occupational Therapist In Private Practice | TN | 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 | 830 | 21 | $0 |
| 97530 | Therapy procedure using functional activities | 439 | 25 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 376 | 18 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 62959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Speech Language Pathologist | TX | |
| Occupational Therapist In Private Practice | KS | |
| Physical Therapist In Private Practice | AZ | |
| Qualified Speech Language Pathologist | MO | |
| Qualified Speech Language Pathologist | WI | |
| Physical Therapist In Private Practice | PA | |
| Family Practice | TN | |
| Qualified Speech Language Pathologist | TX | |
| Physical Therapist In Private Practice | AR | |
| Occupational Therapist In Private Practice | NC |
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