Chantal Johanna Olenczuk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17160 Issued in CA

Practice address

50 N Hill Ave Ste 302
Pasadena, CA 91106-1903

Phone

(818) 237-5409

NPI assigned

Jun 10, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Catherine Evaristo

  • Physical Therapy Clinic/Center
  • Pasadena, CA
  • NPI 1902258619
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1508425885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E CALIFORNIA AVE APT 219",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912065053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N HILL AVE STE 302",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061903",
            "telephone_number": "818-237-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENCZUK",
        "first_name": "CHANTAL",
        "middle_name": "JOHANNA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritone Suansing Olaer, DDS
• Emiliano Olague
• Ronald P Olah, MD
• N Olatunji Olambiwonnu, M.D.
• Daisy Olaya
• Pamela Olender
• Yolanda Oleniacz
• Jonathan Trevor Olevson
• Jonathan Alfredo Oliden Cortez, BS
• Atalie Oliva

• Occupational Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.