JENNIFER ROTH MSW
NPI 1104247840
Occupational Therapist in Boulder, CO
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coral Gables, FL 33146
- Reassigned Medicare billing, Florida enrollment
- 248 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Jennifer Roth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Roth reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Coral Gables, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.