Individual provider Active NPI

Alla Jariabek-Poura, OTR

  • Occupational Therapist
  • Woodland Hills, CA
National Provider Identifier
1184028011
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 5767 Issued in CA
Practice address
20812 Ventura Blvd Ste 230
Woodland Hills, CA 91364-2342
Phone
(818) 884-5362
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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 OT 5767 CA Primary

Addresses

Primary practice location

20812 Ventura Blvd Ste 230
Woodland Hills, CA 91364-2342

Mailing address

20812 Ventura Blvd Ste 230
Woodland Hills, CA 91364-2342
Phone (818) 884-5362

Other identifiers 1

IdentifierTypeStateIssuer
OT 5767OtherCACALIFORNIA BOARD OF OCCUPATIONAL THERAPY

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
OT 5767CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Otr Inc Past Accepting new patients
The Kids OT Past Accepting new patients
Kids Therapy Otr Inc Occupational Therapist Past Accepting new patients

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1184028011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20812 VENTURA BLVD STE 230",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642342",
            "telephone_number": "818-884-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20812 VENTURA BLVD STE 230",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642342",
            "telephone_number": "818-884-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARIABEK-POURA",
        "first_name": "ALLA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 5767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OT 5767",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.