TIFFANY JACKSON CARPENTER (O.T.R.) – Occupational Therapist, NPI 1093766545

TIFFANY JACKSON CARPENTER (O.T.R.) is a healthcare provider. based in Christoval, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials O.T.R.. They hold a License No. 105626 (TX). The NPI Number for TIFFANY JACKSON CARPENTER (O.T.R.) is 1093766545

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY JACKSON CARPENTER (O.T.R.)
NPI
1093766545
Phone
(325) 896-7554
Address
6250 GREEN OAKS DR
Enumeration Date
12 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3259444399
Graduation Year
1994 (32 years ago)
PAC ID
6204951924
Group Practice PAC ID
0143258038
Professional Enrollment ID
I20100917000210
Address ID
TX769015225SA3126XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for TIFFANY JACKSON CARPENTER (O.T.R.)

  • Green Oaks Drive, Christoval, Tom Green County, Texas, 76935, United States

    CHRISTOVAL, TX 769353381

    Phone: (325) 896-7554

    Fax: (325) 944-4556

    Type: Mailing

  • Appaloosa Circle, San Angelo, Tom Green County, Texas, 76904, United States

    SAN ANGELO, TX 76901

    Phone: (325) 944-4399

    Fax: (325) 944-4556

    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: 2010-09-17

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
I20100917000210IOccupational Therapist In Private PracticeTXTBD

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 minutes1,11049$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,08749$0
97035Application of ultrasound, each 15 minutes18417$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12712$0
97165Evaluation for occupational therapy, typically 30 minutes4845$0
View full utilization report →

Insurance plans in this area (ZIP 76935)

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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: 0143258038View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What identifier follows TIFFANY JACKSON CARPENTER (O.T.R.) across health systems?
The NPI 1093766545 uniquely identifies TIFFANY JACKSON CARPENTER (O.T.R.) in U.S. healthcare data.
Is TIFFANY JACKSON CARPENTER (O.T.R.) currently accepting referrals based on NPI status?
Registry metadata lists TIFFANY JACKSON CARPENTER (O.T.R.) as active.
What services align with TIFFANY JACKSON CARPENTER (O.T.R.)'s listing?
TIFFANY JACKSON CARPENTER (O.T.R.)'s public classification highlights Occupational Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to TIFFANY JACKSON CARPENTER (O.T.R.)?
TIFFANY JACKSON CARPENTER (O.T.R.) shows a connection to Christoval, Texas in registry-derived data.
Can I export TIFFANY JACKSON CARPENTER (O.T.R.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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