JENNIFER KHAGHANI (OT) – Occupational Therapist, NPI 1174702724

JENNIFER KHAGHANI (OT) is a healthcare provider. based in Woburn, Massachusetts. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 5460 (MA). The NPI Number for JENNIFER KHAGHANI (OT) is 1174702724

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER KHAGHANI (OT)
NPI
1174702724
Phone
(781) 933-8800
Address
400 W CUMMINGS PARK
Enumeration Date
31 October 2007
Last Update Date
31 October 2007

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8438155557
Graduation Year
1995 (31 years ago)
PAC ID
1052654860
Group Practice PAC ID
2062651185
Professional Enrollment ID
I20230719003661
Address ID
SC299105010BL60XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

370 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for JENNIFER KHAGHANI (OT)

  • 400 W Cummings Pk, Birch Drive, West Cummings Park, Walnut Hill, Woburn, Middlesex County, Massachusetts, 02180, United States

    SUITE 3950

    WOBURN, MA 018016519

    Phone: (781) 933-8800

    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: 2023-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190520000521IOccupational Therapist In Private PracticeMATBD
I20230719003661IOccupational Therapist In Private PracticeSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities59349$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes52339$0
97535Training for self-care or home management, each 15 minutes44841$0
97166Evaluation for occupational therapy, typically 45 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 01801)

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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: 2062651185View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNY
-SC
-PA
Physical Therapist In Private PracticeSC
-SC
Physical Therapist In Private PracticeSC
Qualified Speech Language PathologistNC
-AL
-SC
Physical Therapist In Private PracticeSC

Reviews

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Frequently asked questions

Does JENNIFER KHAGHANI (OT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNIFER KHAGHANI (OT) uses 1174702724.
Is JENNIFER KHAGHANI (OT) listed as active for patients and plans?
The listing shows JENNIFER KHAGHANI (OT) as active in the NPI system.
What taxonomy line describes JENNIFER KHAGHANI (OT)?
For research purposes, treat JENNIFER KHAGHANI (OT) as Occupational Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER KHAGHANI (OT) list a practice location?
Patients near Woburn, Massachusetts may find JENNIFER KHAGHANI (OT) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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