JENNIFER A TABER (OT) – Occupational Therapist, NPI 1437134012

JENNIFER A TABER (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. 4173 (WI). The NPI Number for JENNIFER A TABER (OT) is 1437134012

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER A TABER (OT)
NPI
1437134012
Phone
(920) 430-4750
Address
1630 COMMANCHE AVE
Enumeration Date
7 December 2005
Last Update Date
28 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209654715
Graduation Year
2002 (24 years ago)
PAC ID
9234105297
Group Practice PAC ID
2365432903
Professional Enrollment ID
I20040909001344
Address ID
WI543116213GR2223XRDXX400
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

507 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for JENNIFER A TABER (OT)

  • 1630, Commanche Avenue, Ashwaubenon, Brown County, Wisconsin, 54313, United States

    GREEN BAY, WI 543135753

    Phone: (920) 430-4750

    Mailing address matches the actual address.

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: 2004-09-09

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
I20040909001344IOccupational 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19632$0
97140Therapy procedure using manual technique, each 15 minutes10025$0
97168Re-evaluation for occupational therapy, typically 30 minutes3519$0
97166Evaluation for occupational therapy, typically 45 minutes2827$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: 2365432903View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeWI
-WI
-WI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Is JENNIFER A TABER (OT) listed with a National Provider Identifier?
Yes — JENNIFER A TABER (OT) has NPI 1437134012 on file in the registry.
Is there an active status for JENNIFER A TABER (OT)?
For scheduling context, JENNIFER A TABER (OT) is shown as active in the registry.
What expertise is attributed to JENNIFER A TABER (OT)?
JENNIFER A TABER (OT)'s specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER A TABER (OT)?
Directory geography for JENNIFER A TABER (OT) centers on Green Bay, Wisconsin.
When was this NPI issued?
Enumeration for JENNIFER A TABER (OT) is noted as December 7, 2005 where the registry provides it.

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