PHYLLIS NESSELL DENTON (OTR/L) – Hand Occupational Therapist, NPI 1164765939

PHYLLIS NESSELL DENTON (OTR/L) is a healthcare provider. based in Grayson, Georgia. specializing in Hand Occupational Therapist. They hold the professional credentials OTR/L. They hold a License No. OT0004263 (). The NPI Number for PHYLLIS NESSELL DENTON (OTR/L) is 1164765939

Main info

Female
Name
PHYLLIS NESSELL DENTON (OTR/L)
NPI
1164765939
Phone
(770) 696-1358
Address
1851 SHORELINE TRCE
Enumeration Date
31 March 2013
Last Update Date
26 August 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for PHYLLIS NESSELL DENTON (OTR/L)

  • 1851 SHORELINE TRCE

    GRAYSON, GA 300171166

    Phone: (770) 696-1358

    Type: Mailing

  • PO BOX 21068

    BELFAST, ME 049154107

    Phone:

    Type: Mailing

  • 3211 IRIS DR STE A

    COVINGTON, GA 300160907

    Phone: (770) 787-2950

    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: 2024-05-30

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
I20240530000023IOccupational Therapist In Private PracticeGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30017)

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Reviews

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Frequently asked questions

What NPI should I save for PHYLLIS NESSELL DENTON (OTR/L)?
Save NPI 1164765939 if you need a stable reference for PHYLLIS NESSELL DENTON (OTR/L).
Is PHYLLIS NESSELL DENTON (OTR/L) active in the national directory?
PHYLLIS NESSELL DENTON (OTR/L)'s public NPI profile is in an active state.
Can you summarize PHYLLIS NESSELL DENTON (OTR/L)'s specialty in plain language?
Clinically, the directory lists PHYLLIS NESSELL DENTON (OTR/L) with Hand Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for PHYLLIS NESSELL DENTON (OTR/L)?
The page summarizes Grayson, Georgia for PHYLLIS NESSELL DENTON (OTR/L); expand the address list for detail.
How can I contact PHYLLIS NESSELL DENTON (OTR/L)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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