(CMS-381) Extension Locations of Medicare Approved Providers of Outpatient Physical Therapy and Speech-Language Pathology (OPT) Services

Medicare approved providers of Outpatient Physical Therapy and Speech Pathology Services (OPT) may provide services at additional locations in addition to their Medicare approved primary site. These additional locations are called “extension locations” and must be reported by the provider and approved by CMS. Form CMS-381 provides a method for OPT providers to meet this reporting requirement.

The latest form for (CMS-381) Extension Locations of Medicare Approved Providers of Outpatient Physical Therapy and Speech-Language Pathology (OPT) Services expires 2021-01-31 and can be found here.