LAURA J JENKINS (MS, OTR/L) – Occupational Therapist, NPI 1720218852

LAURA J JENKINS (MS, OTR/L) is a healthcare provider. based in O fallon, Missouri. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MS, OTR/L. They hold a License No. 001960 (IA). The NPI Number for LAURA J JENKINS (MS, OTR/L) is 1720218852

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LAURA J JENKINS (MS, OTR/L)
NPI
1720218852
Phone
(636) 206-4225
Address
4273 KEATON CROSSING BLVD
Enumeration Date
23 July 2009
Last Update Date
2 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185050044
Graduation Year
2008 (18 years ago)
PAC ID
5799831582
Group Practice PAC ID
4981018736
Professional Enrollment ID
I20100625000022
Address ID
IL622692251OX729XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for LAURA J JENKINS (MS, OTR/L)

  • 4273, Keaton Crossing Boulevard, O’Fallon, Saint Charles County, Missouri, 63368, United States

    O FALLON, MO 633688220

    Phone: (636) 206-4225

    Fax: (636) 422-1051

    Type: Mailing

  • 5300, North Illinois Street, Fairview Heights, Saint Clair County, Illinois, 62208, United States

    FAIRVIEW HEIGHTS, IL 622082700

    Phone: (618) 624-9300

    Fax: (618) 307-3435

    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: 2010-06-25

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
I20100625000022IOccupational Therapist In Private PracticeILTBD

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 63368)

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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: 4981018736View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to LAURA J JENKINS (MS, OTR/L)?
NPI 1720218852 is assigned to LAURA J JENKINS (MS, OTR/L) under the national enumeration system.
Is LAURA J JENKINS (MS, OTR/L)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize LAURA J JENKINS (MS, OTR/L)'s specialty in plain language?
Clinically, the directory lists LAURA J JENKINS (MS, OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is LAURA J JENKINS (MS, OTR/L)'s primary listing?
We display O Fallon, Missouri because that is what the record indicates for LAURA J JENKINS (MS, OTR/L).
How can I contact LAURA J JENKINS (MS, OTR/L)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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