JENNIFER NICOLE SMITH (OTR/L) – Hand Occupational Therapist, NPI 1104496751

JENNIFER NICOLE SMITH (OTR/L) is a healthcare provider. based in Hamburg, Pennsylvania. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OC017657 (PA). The NPI Number for JENNIFER NICOLE SMITH (OTR/L) is 1104496751

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICOLE SMITH (OTR/L)
NPI
1104496751
Phone
(484) 663-4809
Address
525 Hillside Ct
Enumeration Date
27 June 2021
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107685940
Graduation Year
2020 (6 years ago)
PAC ID
2961876537
Group Practice PAC ID
5890681092
Professional Enrollment ID
I20230322000463
Address ID
PA194062802KI950XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

855 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for JENNIFER NICOLE SMITH (OTR/L)

  • 525 Hillside Ct

    Hamburg, PA 195261302

    Phone: (484) 663-4809

    Type: Location

  • 640 Freedom Business Ctr Dr Ste 130

    King Of Prussia, PA 194061332

    Phone: (610) 992-0555

    Type: Location

  • PO BOX 34990

    BELFAST, ME 049150627

    Phone:

    Type: Mailing

  • 2010 W CHESTER PIKE STE 425

    HAVERTOWN, PA 190832740

    Phone: (610) 789-9815

    Type: Location

  • 525 HILLSIDE CT

    HAMBURG, PA 195261302

    Phone: (484) 663-4809

    Type: Mailing

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: 2023-03-22

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
I20230322000463IOccupational Therapist In Private PracticePATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16035$0
97763Follow-up training in the use of orthopedic device or artificial arm, leg and/or trunk, each 15 minutes2214$0
View full utilization report →

Insurance plans in this area (ZIP 19526)

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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: 5890681092View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Diagnostic RadiologyIN
-PA
-PA
Physical Therapist In Private PracticePA
Orthopedic SurgeryPA
Occupational Therapist In Private PracticeME
-PA
-PA
-PA

Reviews

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Frequently asked questions

Does JENNIFER NICOLE SMITH (OTR/L) have a public NPI I can cite?
Public records show JENNIFER NICOLE SMITH (OTR/L) under NPI 1104496751.
Does the public listing show JENNIFER NICOLE SMITH (OTR/L) as active?
JENNIFER NICOLE SMITH (OTR/L)'s NPI record reflects an active status in NPPES.
What type of care does JENNIFER NICOLE SMITH (OTR/L) provide?
JENNIFER NICOLE SMITH (OTR/L)'s profile centers on Hand Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER NICOLE SMITH (OTR/L)?
JENNIFER NICOLE SMITH (OTR/L) shows a connection to Hamburg, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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