MRS. DAWN LOUISE PELINO (OTR, CHT) – Occupational Therapist, NPI 1043359581
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI
Provider Addresses for MRS. DAWN LOUISE PELINO (OTR, CHT)
75 W Square Lake Rd
Troy, MI 480982929
Phone: (248) 688-9010
Fax: (248) 688-9013
Type: Location
5825 S Main St
Suite 103
Clarkston, MI 483462983
Phone: (248) 620-8980
Fax: (248) 620-9397
Type: Location
21906 JURICNY DR
MACOMB, MI 480424631
Phone: (248) 620-8980
Fax: (248) 620-9397
Type: Mailing
South Main Street, Clarkston, Oakland County, Michigan, 48346, United States
SUITE 103
CLARKSTON, MI 483462983
Phone: (248) 620-8980
Fax: (248) 620-9397
Type: Location
33900 HARPER AVE STE 104
CLINTON TWP, MI 480354258
Phone:
Type: Mailing
4967 CROOKS RD STE 150
TROY, MI 480985802
Phone: (248) 509-9700
Fax: (248) 509-9701
Type: Location
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: 2025-12-29
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 |
|---|---|---|---|---|
| I20251229001941 | I | Occupational Therapist In Private Practice | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48098)
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