Yelena Takhalova, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021156 Issued in NY

Practice address

9949 66TH Rd Apt 2B
Rego Park, NY 11374-4431

Phone

(347) 656-2721

NPI assigned

Dec 21, 2016

Last updated

Nov 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1114462512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 66TH RD APT 2B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9949 66TH RD APT 2B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744431",
            "telephone_number": "347-656-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHALOVA",
        "first_name": "YELENA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04463030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Synapse Medical P.L.L.C.
• Imtisal Tabbassum
• Jasmine Tabibi, PHARM.D.
• Magdy S Tadros, DDS
• Maria Antonia Taibo-Armstrong
• Cindy Tam, OTR/L
• Elena Tamarov, M.A.
• Bodi Tang
• Nancy Tartakoff, LCSW
• Tatyana Yuzbashyan MD PC

• Occupational Therapist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.