JENNA JARVIS (PT, DPT) – Physical Therapist, NPI 1245766534

JENNA JARVIS (PT, DPT) is a healthcare provider. based in Moore, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 18377 (CO). The NPI Number for JENNA JARVIS (PT, DPT) is 1245766534

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNA JARVIS (PT, DPT)
NPI
1245766534
Phone
(405) 735-8777
Address
1700 S BROADWAY ST
Enumeration Date
4 May 2017
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3039261444
Graduation Year
2017 (9 years ago)
PAC ID
2769755206
Group Practice PAC ID
9133010978
Professional Enrollment ID
I20220808003026
Address ID
CO800279453LO275XXCIRX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

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Provider Addresses for JENNA JARVIS (PT, DPT)

  • 1700, South Broadway Street, Moore, Cleveland County, Oklahoma, 73160, United States

    SUITE B

    MOORE, OK 731605300

    Phone: (405) 735-8777

    Fax: (405) 735-8778

    Type: Mailing

  • 275 CENTURY CIR STE 103

    LOUISVILLE, CO 800279453

    Phone: (303) 926-1444

    Fax: (303) 926-0038

    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: 2022-08-08

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
I20220808003026IPhysical Therapist In Private PracticeCOTBD

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
97140Therapy procedure using manual technique, each 15 minutes28434$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18931$0
97161Evaluation for physical therapy, typically 20 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 73160)

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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: 9133010978View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO

Reviews

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Frequently asked questions

Does JENNA JARVIS (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNA JARVIS (PT, DPT) uses 1245766534.
Is JENNA JARVIS (PT, DPT) listed as active for patients and plans?
The listing shows JENNA JARVIS (PT, DPT) as active in the NPI system.
What taxonomy line describes JENNA JARVIS (PT, DPT)?
For research purposes, treat JENNA JARVIS (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JENNA JARVIS (PT, DPT) based?
JENNA JARVIS (PT, DPT) is tied to Moore, Oklahoma in the data we show; additional addresses may exist on the full record.
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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