MR. LARRY JAMES RUTLAND (OTR/L) – Occupational Therapist, NPI 1356908420
Occupational Therapist
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. LARRY JAMES RUTLAND (OTR/L)
4250 PIEDMONT LNDG NW
KENNESAW, GA 301446043
Phone: (678) 575-1575
Type: Mailing
96232 RIDGEWOOD CIR
FERNANDINA BEACH, FL 320348160
Phone: (678) 761-2863
Fax: (904) 775-4478
Type: Mailing
463155 ST RD 200 (A1A) UNIT 12
YULEE, FL 32097
Phone: (678) 761-2863
Fax: (904) 775-4478
Type: Location
1401 Tift Ave N Ste B
Tifton, GA 317943577
Phone: (678) 761-2863
Fax: (855) 565-1769
Type: Location
96232 Ridgewood Cir
Fernandina Beach, FL 320348160
Phone: (678) 761-2863
Fax: (904) 775-4478
Type: Location
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL 320348005
Phone: (904) 321-9054
Fax: (855) 565-1769
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: 2022-01-05
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 |
|---|---|---|---|---|
| I20220105001922 | I | Occupational Therapist In Private Practice | FL | 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 30144)
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