Jennifer Roth, MSW
NPI 1104247840ActiveIndividual· Occupational Therapist· Boulder, CO
Occupational Therapist (MSW) with Healthpro Heritage Rehab and Fitness LLC, practicing in Boulder, Colorado. Medicare paid $13,291 for services to 11 patients in 2024.
Overview
| NPI | 1104247840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | No |
| NPI issued | Dec 24, 2013 |
| Last updated in NPPES | Dec 7, 2022 |
| Certified by provider | Dec 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT22592 | FL |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 627 across 6 procedure codes |
| Paid by Medicare | $13,291 |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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