PETER HARRIS (OTD) – Occupational Therapist, NPI 1710705942

PETER HARRIS (OTD) is a healthcare provider. based in La grande, Oregon. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTD. They hold a License No. 504664 (OR). The NPI Number for PETER HARRIS (OTD) is 1710705942

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
PETER HARRIS (OTD)
NPI
1710705942
Phone
Not provided
Address
406 2ND ST
Enumeration Date
27 September 2024
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419620830
Graduation Year
2022 (4 years ago)
PAC ID
0345774063
Group Practice PAC ID
9537053079
Professional Enrollment ID
I20241116000400
Address ID
OR978503910LA2519XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for PETER HARRIS (OTD)

  • 406 2ND ST

    LA GRANDE, OR 978501117

    Phone:

    Type: Mailing

  • 2519 COVE AVE

    LA GRANDE, OR 978503910

    Phone: (541) 962-5386

    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: 2024-11-16

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
I20241116000400IOccupational Therapist In Private PracticeORTBD

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 97850)

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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: 9537053079View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeOR
-OR
Occupational Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What unique ID ties claims to PETER HARRIS (OTD)?
NPI 1710705942 is assigned to PETER HARRIS (OTD) under the national enumeration system.
Is PETER HARRIS (OTD) active in the national directory?
PETER HARRIS (OTD)'s public NPI profile is in an active state.
What does PETER HARRIS (OTD) treat or focus on?
Patients typically see PETER HARRIS (OTD) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does PETER HARRIS (OTD) practice in Oregon?
You will see La Grande, Oregon on file for PETER HARRIS (OTD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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