Individual provider Active NPI

Yelena Levin-Gasparyan, MPT

  • Physical Therapist
  • Tarzana, CA
National Provider Identifier
1073767786
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 23839 Issued in CA
Practice address
5620 Wilbur Ave Ste 103
Tarzana, CA 91356-1336
Phone
(818) 207-7581
NPI assigned
Nov 7, 2008
Reactivated
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 23839 CA Primary

Addresses

Primary practice location

5620 Wilbur Ave Ste 103
Tarzana, CA 91356-1336

Mailing address

10854 Wystone Ave
Northridge, CA 91326-2652
Phone (818) 207-7581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 23839CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Y&E Home Health Inc CurrentSince Mar 6, 2022 Accepting new patients
Valley Corf, Inc. Past Accepting new patients
Cuznz LTD Burbank Therapy Center Past Accepting new patients

Locations

500 N Central Ave
Ste 225
Glendale, CA 91203
Phone (818) 945-5172

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073767786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10854 WYSTONE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262652",
            "telephone_number": "818-207-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561336",
            "telephone_number": "818-207-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN-GASPARYAN",
        "first_name": "YELENA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-07-21",
        "deactivation_date": "2014-12-10",
        "reactivation_date": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 23839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.