DR. NOAH PENNYPACKER (OTD, OTR/L, ATC) – Occupational Therapist, NPI 1013471895

DR. NOAH PENNYPACKER (OTD, OTR/L, ATC) is a healthcare provider. based in Northfield, Ohio. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD, OTR/L, ATC. They hold a License No. OT012046 (OH). The NPI Number for DR. NOAH PENNYPACKER (OTD, OTR/L, ATC) is 1013471895

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. NOAH PENNYPACKER (OTD, OTR/L, ATC)
NPI
1013471895
Phone
(330) 840-0500
Address
50 SCUPPER LN
Enumeration Date
25 January 2019
Last Update Date
30 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2022 (4 years ago)
PAC ID
0143602615
Group Practice PAC ID
1254698350
Professional Enrollment ID
I20220729002473
Address ID
OH430854045WO6525XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

499 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OH

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Provider Addresses for DR. NOAH PENNYPACKER (OTD, OTR/L, ATC)

  • 50, Scupper Lane, Northfield Center Township, Summit County, Ohio, 44067, United States

    NORTHFIELD, OH 440673022

    Phone: (330) 840-0500

    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: 2022-07-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220729002473IOccupational Therapist In Private PracticeOHTBD

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 minutes2,51569$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46138$0
97530Therapy procedure using functional activities10914$0
97167Evaluation for occupational therapy, typically 1 hour2422$0
View full utilization report →

Insurance plans in this area (ZIP 44067)

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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: 1254698350View full group profile
NameSpecialtyState
-OH
Physical Therapist In Private PracticeOR
Qualified Speech Language PathologistOH
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticePA
Qualified Speech Language PathologistOH
Qualified Speech Language PathologistOH
-MD
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How do payers reference DR. NOAH PENNYPACKER (OTD, OTR/L, ATC)?
For DR. NOAH PENNYPACKER (OTD, OTR/L, ATC), use NPI 1013471895 as the unique 10-digit identifier.
Is DR. NOAH PENNYPACKER (OTD, OTR/L, ATC) shown as active in public data?
Registry records indicate DR. NOAH PENNYPACKER (OTD, OTR/L, ATC) maintains an active NPI.
What area of care is associated with DR. NOAH PENNYPACKER (OTD, OTR/L, ATC)?
DR. NOAH PENNYPACKER (OTD, OTR/L, ATC)'s record emphasizes Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NOAH PENNYPACKER (OTD, OTR/L, ATC)?
Travel planning: use Northfield, Ohio as the reference point for DR. NOAH PENNYPACKER (OTD, OTR/L, ATC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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