MS. CECEILA R. FORTUNE (MS, OTR/L) – Occupational Therapist, NPI 1104069814

MS. CECEILA R. FORTUNE (MS, OTR/L) is a healthcare provider. based in Owings mills, Maryland. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, OTR/L. They hold a License No. 05757 (MD). The NPI Number for MS. CECEILA R. FORTUNE (MS, OTR/L) is 1104069814

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. CECEILA R. FORTUNE (MS, OTR/L)
NPI
1104069814
Phone
(410) 363-4790
Address
4730 ATRIUM CT
Enumeration Date
10 April 2009
Last Update Date
27 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4102447204
Graduation Year
2006 (20 years ago)
PAC ID
1759733421
Group Practice PAC ID
9830144591
Professional Enrollment ID
I20240118000632
Address ID
MD212094423BA2211XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

460 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MD

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Provider Addresses for MS. CECEILA R. FORTUNE (MS, OTR/L)

  • 4730, Atrium Court, Village of Painters Mill, Owings Mills, Baltimore County, Maryland, 21117, United States

    OWINGS MILLS, MD 211173556

    Phone: (410) 363-4790

    Fax: (410) 363-1894

    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: 2024-01-18

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
I20240118000632IOccupational Therapist In Private PracticeMDTBD

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 21117)

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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: 9830144591View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMD
Qualified Speech Language PathologistMD
Family Practice, Family Practice, Hospice/Palliative Care, Geriatric MedicineMD
Occupational Therapist In Private PracticeMD
Internal Medicine, Geriatric MedicineMD
Occupational Therapist In Private PracticeMD
Qualified Speech Language PathologistMD
Nurse PractitionerMD
Internal Medicine, Hospice/Palliative Care, Geriatric MedicineMA
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

How do payers reference MS. CECEILA R. FORTUNE (MS, OTR/L)?
For MS. CECEILA R. FORTUNE (MS, OTR/L), use NPI 1104069814 as the unique 10-digit identifier.
Is MS. CECEILA R. FORTUNE (MS, OTR/L) still an active registrant?
MS. CECEILA R. FORTUNE (MS, OTR/L) carries an active NPI according to the public dataset.
What kind of doctor is MS. CECEILA R. FORTUNE (MS, OTR/L)?
MS. CECEILA R. FORTUNE (MS, OTR/L) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. CECEILA R. FORTUNE (MS, OTR/L) located near Owings Mills?
MS. CECEILA R. FORTUNE (MS, OTR/L) currently maps to Owings Mills, Maryland in this extract.
When was this NPI issued?
Enumeration for MS. CECEILA R. FORTUNE (MS, OTR/L) is noted as April 10, 2009 where the registry provides it.

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