NPIMap

Individual provider Active NPI

Alice J. Engelmann, OTRL

  • Occupational Therapist
  • North Hollywood, CA
National Provider Identifier
1083741193
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5449 OT Issued in CA
Practice address
6400 Laurel Canyon Blvd Ste 400
North Hollywood, CA 91606-1559
Phone
(818) 763-0136
Fax
(818) 763-3838
NPI assigned
Feb 27, 2007
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5449 OT CA Primary
Occupational Therapist 225X00000X AA364257 NBCOT NU
Occupational Therapist 225X00000X 5449 OT PAM CA
Hand Occupational Therapist 225XH1200X 5449 OT HTC CA
Neurorehabilitation Occupational Therapist 225XN1300X NU
Pediatric Occupational Therapist 225XP0200X NU

Addresses

Primary practice location

6400 Laurel Canyon Blvd Ste 400
North Hollywood, CA 91606-1559

Mailing address

5508 Woodman Ave
Sherman Oaks, CA 91401-5801
Phone (818) 785-5550

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
5449 OTCAMDOccupational Therapist
5449 OT PAMCAMDOccupational Therapist
5449 OT HTCCAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Works, Inc. Occupational Therapist PastSince Jul 23, 2007 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1083741193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 WOODMAN AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914015801",
            "telephone_number": "818-785-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 LAUREL CANYON BLVD STE 400",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061559",
            "telephone_number": "818-763-0136",
            "fax_number": "818-763-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELMANN",
        "first_name": "ALICE",
        "middle_name": "J.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5449 OT",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": "AA364257 NBCOT",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "5449 OT PAM",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "5449 OT HTC",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.