Diana Yakutilova, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

P82982 Issued in NY

Practice address

2075 E 68TH St
Brooklyn, NY 11234-6009

Phone

(718) 968-7866

NPI assigned

Apr 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Birch Family Services, Mill Basin Early Childhood Center

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1831457738
  NPD (past)

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1194083196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 98TH ST",
            "address_2": "APT 3B",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741426",
            "telephone_number": "718-406-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 E 68TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346009",
            "telephone_number": "718-968-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKUTILOVA",
        "first_name": "DIANA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "P82982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neli Yakupov
• Elif Yakut
• Alexandra Yakutelov
• Luydmila Yakutelov, OTR/L
• Rudolf Yakutelov, OTR/L
• Raya Yakutilova
• Yelena Yakutilova, PA
• Sviatlana Yakutovich
• Rao A.K. Yalamanchili, M.D.
• Yaldeinu Health, Inc.

• Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, 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 Apr 26, 2012; 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.