MRS. JACALYNN MARIE SURMA OT
NPI 1225847023
Occupational Therapist in Greenwood, IN

Active since January 06, 2025
3000 N STATE RD 135, GREENWOOD, IN 46143(800) 777-7775 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jacalynn Marie Surma Ot NPPES

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

MRS. JACALYNN MARIE SURMA OT (NPI 1225847023) is an individual occupational therapist in Greenwood, Indiana, licensed in Indiana (31007664A) and active in the NPI registry since January 2025. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1225847023
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. JACALYNN MARIE SURMACredential: OT
Location Address3000 N STATE RD 135Greenwood, IN 46143
Mailing Address3000 N State Rd 135Greenwood, IN 46143
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1225847023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in IN · 31007664A
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.
3000 N STATE RD 135, Greenwood, IN 46143

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacalynn Marie Surma Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496223596
PECOS Enrollment IDI20260507000290

Medicare Billing Reassignment

Medicare enrollment records show Jacalynn Surma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3000 S STATE ROAD 135 STE 110
Greenwood, IN 46143
  • Reassigned Medicare billing, Indiana enrollment
  • 32 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 2

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

Psychiatry & Neurology (Psychiatry)
3000 N STATE RD 135, STE 230
GREENWOOD, IN 46143
Occupational Therapist
3000 N STATE RD 135
GREENWOOD, IN 46143

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 Jacalynn Surma's NPI number?

The NPI number for Jacalynn Surma is 1225847023. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Where is Jacalynn Surma located?

Jacalynn Surma practices at 3000 N State Rd 135, Greenwood, IN 46143. The listed phone number is (800) 777-7775.

What is Jacalynn Surma's specialty?

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

Is Jacalynn Surma enrolled in Medicare?

Yes. Jacalynn Surma is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacalynn Surma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacalynn Surma reassigns Medicare benefits to Chn Jmh Ventures LLC (Greenwood, IN). 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 Jacalynn Surma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacalynn Surma accept?

Health plans from CareSource list Jacalynn Surma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacalynn Surma was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.