Andrew Dyjak, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

19217 Issued in CA

Practice address

3130 Wilshire Blvd
Los Angeles, CA 90010-1206

Phone

(213) 389-1004

NPI assigned

Oct 5, 2018

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

High Five Hand Therapy and Rehabilitation la LLCGroup PAC ID 1850626805, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Hand Therapy and Rehabilitation Oc, Inc.

  • Occupational Therapist
  • Laguna Niguel, CA
  • NPI 1013613041
  Medicare reassignment NPD Authorized official
• High Five Hand Therapy and Rehabilitation la LLC

  • Hand Occupational Therapist
  • Los Angeles, CA
  • NPI 1780159087
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1497220487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101206",
            "telephone_number": "213-389-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101206",
            "telephone_number": "213-389-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYJAK",
        "first_name": "ANDREW",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald T Dyer, REGISTERED COUNSELOR
• Sierra Dyer
• Wanjiku Wambaa Dyer
• Zariel Dyer
• Maricon D Dyho, RPH
• Marina Dykhne
• Jenna Anne Dyksen, M.A., CCC-SLP
• Gerrit Dykstra
• Jeremy Branden Dyla
• Jacquelyn M Dylla

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.