CHAD T MEYER (OT) – Occupational Therapist, NPI 1104367200

CHAD T MEYER (OT) is a healthcare provider. based in Green bay, Wisconsin. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 6012-26 (WI). The NPI Number for CHAD T MEYER (OT) is 1104367200

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CHAD T MEYER (OT)
NPI
1104367200
Phone
(920) 430-4700
Address
1630 Commanche Ave
Enumeration Date
9 March 2017
Last Update Date
28 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208351100
Graduation Year
2016 (10 years ago)
PAC ID
1355626375
Group Practice PAC ID
2163461781
Professional Enrollment ID
I20170314000415
Address ID
WI541532004OC820XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

507 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for CHAD T MEYER (OT)

  • 1630 Commanche Ave

    Green Bay, WI 543135753

    Phone: (920) 430-4700

    Fax: (920) 430-4747

    Type: Location

  • 3263 Eaton Rd

    Green Bay, WI 543116830

    Phone: (920) 433-6700

    Fax: (920) 433-6719

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543052487

    Phone: (920) 445-7222

    Fax: (920) 445-7289

    Type: Mailing

  • 2820, Roosevelt Road, Marinette, Town of Peshtigo, Marinette County, Wisconsin, 54143, United States

    MARINETTE, WI 541433834

    Phone: (715) 735-5225

    Fax: (715) 735-5388

    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: 2017-03-14

PECOS data refreshed: 2026-06-15

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
I20170314000415IOccupational Therapist In Private PracticeWITBD

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
97530Therapy procedure using functional activities4414$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3519$0
97165Evaluation for occupational therapy, typically 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 54313)

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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: 2163461781View full group profile

Reviews

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Frequently asked questions

What identifier follows CHAD T MEYER (OT) across health systems?
The NPI 1104367200 uniquely identifies CHAD T MEYER (OT) in U.S. healthcare data.
Does the public listing show CHAD T MEYER (OT) as active?
CHAD T MEYER (OT)'s NPI record reflects an active status in NPPES.
How should patients interpret CHAD T MEYER (OT)'s specialty?
The extract shows Occupational Therapist for CHAD T MEYER (OT). Clinical services aligned with this taxonomy classification.
What city is tied to CHAD T MEYER (OT)?
The directory associates CHAD T MEYER (OT) with Green Bay, Wisconsin. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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