JENNICA NICOLE COLVIN (OTR) – Occupational Therapist, NPI 1245567882

JENNICA NICOLE COLVIN (OTR) is a healthcare provider. based in San antonio, Texas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 110631 (TX). The NPI Number for JENNICA NICOLE COLVIN (OTR) is 1245567882

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JENNICA NICOLE COLVIN (OTR)
NPI
1245567882
Phone
(210) 651-3339
Address
4415 RIO D ORO
Enumeration Date
3 November 2009
Last Update Date
3 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8303318604
Graduation Year
2002 (24 years ago)
PAC ID
4385944016
Group Practice PAC ID
5698075323
Professional Enrollment ID
I20151201002693
Address ID
TX780062434BO1022XRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for JENNICA NICOLE COLVIN (OTR)

  • San Antonio, Santa Rosa, El Oro, Ecuador

    SAN ANTONIO, TX 782336748

    Phone: (210) 651-3339

    Fax: (210) 651-3339

    Type: Location

  • Sullivan Trail, College Hill, Easton, Northampton County, Pennsylvania, 18042-3633, United States

    EASTON, PA 180407958

    Phone: (610) 944-9782

    Fax: (610) 438-2024

    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: 2015-12-01

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
I20151201002693IOccupational 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes8020$0
View full utilization report →

Insurance plans in this area (ZIP 78233)

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Provider's Procedures

JENNICA NICOLE COLVIN (OTR) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYTX97535Self-care or home management training, each 15 minutes17427

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: 5698075323View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is there an official ID for JENNICA NICOLE COLVIN (OTR) in U.S. healthcare records?
The official identifier for JENNICA NICOLE COLVIN (OTR) is NPI 1245567882.
Active or inactive — what applies to JENNICA NICOLE COLVIN (OTR)?
You should see JENNICA NICOLE COLVIN (OTR) as active in CMS-hosted NPPES data.
What kind of doctor is JENNICA NICOLE COLVIN (OTR)?
JENNICA NICOLE COLVIN (OTR) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is JENNICA NICOLE COLVIN (OTR) registered?
Use San Antonio, Texas as the headline location for JENNICA NICOLE COLVIN (OTR) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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