JEFF KLASSEN (OTRL) – Occupational Therapist, NPI 1104015940

JEFF KLASSEN (OTRL) is a healthcare provider. based in Ocean springs, Mississippi. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTRL. They hold a License No. OT0504 (MS). The NPI Number for JEFF KLASSEN (OTRL) is 1104015940

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
JEFF KLASSEN (OTRL)
NPI
1104015940
Phone
(228) 875-5447
Address
5703 GULF TECH DR
Enumeration Date
17 October 2007
Last Update Date
17 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6622054282
Graduation Year
1995 (31 years ago)
PAC ID
7214356724
Group Practice PAC ID
0345390308
Professional Enrollment ID
I20201002001010
Address ID
MS38804XXXXTUXXXXXXXXXX00
Telehealth
Yes
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

213 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MS

Provider Addresses for JEFF KLASSEN (OTRL)

  • 5703 GULF TECH DR

    OCEAN SPRINGS, MS 395648200

    Phone: (228) 875-5447

    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: 2020-10-02

PECOS data refreshed: 2026-06-15

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
I20201002001010IOccupational Therapist In Private PracticeMSTBD

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
97535Training for self-care or home management, each 15 minutes1,90922$0
97530Therapy procedure using functional activities41227$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29826$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12817$0
97166Evaluation for occupational therapy, typically 45 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 39564)

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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: 0345390308View full group profile
NameSpecialtyState
Nurse PractitionerMS
Occupational Therapist In Private PracticeMS
Occupational Therapist In Private PracticeAR
Orthopedic SurgeryTN
Physical Therapist In Private PracticeMS
Occupational Therapist In Private PracticeMS
Qualified Speech Language PathologistMS
Physical Therapist In Private PracticeMS
Nurse PractitionerMS
Family PracticeMS

Reviews

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Frequently asked questions

What identifier follows JEFF KLASSEN (OTRL) across health systems?
The NPI 1104015940 uniquely identifies JEFF KLASSEN (OTRL) in U.S. healthcare data.
Is JEFF KLASSEN (OTRL)'s NPI status active today?
Active status means JEFF KLASSEN (OTRL)'s NPI record is not deactivated in the public file.
What type of care does JEFF KLASSEN (OTRL) provide?
JEFF KLASSEN (OTRL)'s profile centers on Occupational Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to JEFF KLASSEN (OTRL)?
The directory associates JEFF KLASSEN (OTRL) with Ocean Springs, Mississippi. Check all listed addresses for suites or satellite offices.
Why is information missing for JEFF KLASSEN (OTRL)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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