NICOLE JACOBS (OT, CHT) – Occupational Therapist, NPI 1124236260
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
370 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MA
Provider Addresses for NICOLE JACOBS (OT, CHT)
2 POND PARK RD STE 102
HINGHAM, MA 020434354
Phone:
Type: Mailing
750, Washington Street, Dorchester Center, Dorchester, Boston, Suffolk County, Massachusetts, 02124, United States
BOX 419
BOSTON, MA 021111526
Phone: (617) 636-5114
Type: Location
19, Beal Street, Old Spain, Hingham, Plymouth County, Massachusetts, 02043, United States
HINGHAM, MA 020432116
Phone:
Type: Mailing
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: 2010-05-24
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 |
|---|---|---|---|---|
| I20100524000392 | I | Occupational Therapist In Private Practice | MA | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 275 | 29 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 90 | 26 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 17 | 11 | $0 |
Insurance plans in this area (ZIP 02043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| Occupational Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | MA | |
| Physical Therapist In Private Practice | MA |
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