Individual provider Active NPI

Jennifer Putterflam, MOT, OTR/L

  • Hand Occupational Therapist
  • Encino, CA
National Provider Identifier
1366128662
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
17000 Ventura Blvd Ste 304
Encino, CA 91316-4159
Phone
(818) 793-3837
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

17000 Ventura Blvd Ste 304
Encino, CA 91316-4159

Mailing address

24770 Calvert St
Woodland Hills, CA 91367-1019

Other practice location 1

23586 Calabasas Rd Ste 206
Calabasas, CA 91302-1330
Phone (818) 224-3837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731000229 CA Practitioner - Occupational Therapist in Private Practice 5799222410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Healing Hands Rehab IncGroup PAC ID 1254491632, 4 clinicians

Practice addresses (Care Compare)

17000 Ventura Blvd
Suite 304
Encino, CA 91316-4159
Phone (818) 793-3837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Rehab Inc CurrentSince Jun 10, 2024 Accepting new patients
Healing Hands Rehab Inc Hand CurrentSince Jun 10, 2024 Accepting new patients

Locations

23586 Calabasas Rd
Ste 206
Calabasas, CA 91302
Phone (818) 222-0235

17000 Ventura Blvd
Ste 304
Encino, CA 91316
Phone (818) 380-0199

Organizations & group practices 2

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1366128662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24770 CALVERT ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 VENTURA BLVD STE 304",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164159",
            "telephone_number": "818-793-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23586 Calabasas Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021330",
            "country_code": "US",
            "telephone_number": "818-224-3837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTTERFLAM",
        "first_name": "JENNIFER",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.