Elena Kravets Berchenko, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36955 Issued in CA

Practice address

315 Arden Ave
Ste 21
Glendale, CA 91203-1162

Phone

(818) 704-3862

Fax

(818) 704-3862

NPI assigned

Oct 19, 2010

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

Electronic endpoints 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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1285944678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 DEL MORENO DR.",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642426",
            "telephone_number": "818-521-5265",
            "fax_number": "818-704-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ARDEN AVE",
            "address_2": "STE 21",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031162",
            "telephone_number": "818-704-3862",
            "fax_number": "818-704-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHENKO",
        "first_name": "ELENA",
        "middle_name": "KRAVETS",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "315 ARDEN AVE",
            "address_2": "STE 21",
            "city": "GLENDALE",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912031162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beno Nersissian MD Inc
• James Paul Benvenuti, MD
• Gretel Benyamin
• Lorig Berberian, PHARMD
• Robert S. Berberian, D.O.
• Eugene Alex Berchenko, DC
• Kayla Bereal-Murray
• Elen Beremesh, NP
• Sherry L Berg, RD
• Eliana Y Berger, M.D.

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.