Individual provider Active NPI

Elena Toltchelnikova, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1073967972
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020487-1 Issued in NY
Practice address
1733 W 4TH St
Brooklyn, NY 11223-1545
Phone
(347) 836-1078
NPI assigned
Apr 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 020487-1 NY Primary

Addresses

Primary practice location

1733 W 4TH St
Brooklyn, NY 11223-1545

Mailing address

1733 W 4TH St
Brooklyn, NY 11223-1545
Phone (347) 836-1078

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020487-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1460851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1073967972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 W 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231545",
            "telephone_number": "347-836-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231545",
            "telephone_number": "347-836-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLTCHELNIKOVA",
        "first_name": "ELENA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-17",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; 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.