MS. COURTNEY LYNNE BENNER (MOT, OTR/L) – Occupational Therapist, NPI 1477008340
Occupational Therapist
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Profile Insights
NPPES metrics only — not quality of care.
156 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for MS. COURTNEY LYNNE BENNER (MOT, OTR/L)
10217 N Oak Court W
Cedar Hills, UT 84062
Phone: (307) 438-1768
Type: Location
750, Freedom Boulevard, North Park, Provo, Utah County, Utah, 84601, United States
PROVO, UT 846011677
Phone: (801) 373-4760
Fax: (801) 373-0639
Type: Mailing
875 SOUTH 700 EAST
APT 105
OREM, UT 84097
Phone: (307) 438-1768
Type: Mailing
511 N 12TH ST E
RIVERTON, WY 825013805
Phone: (307) 438-1768
Fax: (307) 460-5791
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: 2025-02-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250227001139 | I | Occupational Therapist In Private Practice | TX | TBD |
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.
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 84062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AK | |
| Nurse Practitioner | MD | |
| - | TX | |
| - | WY | |
| Nurse Practitioner | WY | |
| - | WY | |
| Physician Assistant | CO | |
| Physician Assistant | UT | |
| Clinical Social Worker | WY | |
| Physician Assistant | WY |
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