JENNIFER ROTH MSW
NPI 1104247840
Occupational Therapist in Boulder, CO

Active since December 24, 2013Accepts Medicare Assignment
1333 IRIS AVE, BOULDER, CO 80304(303) 443-8500 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Roth Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ROTH MSW (NPI 1104247840) is an individual occupational therapist in Boulder, Colorado, licensed in Florida (OT22592) and active in the NPI registry since December 2013. She is a graduate of Other (1987).

NPPES Registry Identity

NPI1104247840
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENNIFER ROTHCredential: MSW
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226 · (303) 443-8500
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 24, 2013
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
NPI 1104247840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in FL · OT22592
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1333 IRIS AVE, Boulder, CO 80304

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Roth Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840669768
PECOS Enrollment IDI20221214003311

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Social Worker
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Psychiatry & Neurology (Psychiatry)
1333 IRIS AVE
BOULDER, CO 80304
Case Manager/Care Coordinator
1333 IRIS AVE
BOULDER, CO 80304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Roth's NPI number?

The NPI number for Jennifer Roth is 1104247840. It was assigned to this individual provider in the NPPES registry on December 24, 2013.

Where is Jennifer Roth located?

Jennifer Roth practices at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 443-8500.

What is Jennifer Roth's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jennifer Roth enrolled in Medicare?

Yes. Jennifer Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Roth was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.