Individual provider Active NPI

Lena Bouchkanets, O.T.

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1710358312
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
63020087 Issued in NY
Practice address
2 W End Ave
2M
Brooklyn, NY 11235-4848
Phone
(917) 969-0214
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 63020087 NY Primary

Addresses

Primary practice location

2 W End Ave
2M
Brooklyn, NY 11235-4848

Mailing address

2 W End Ave
2M
Brooklyn, NY 11235-4848
Phone (917) 969-0214

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917001006 NY Practitioner - Occupational Therapist in Private Practice 3476094574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimized Independence OT PLLCGroup PAC ID 4183996390, 14 clinicians

Practice addresses (Care Compare)

78 Reed Dr
Roslyn, NY 11576-3216
Phone (718) 490-2014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63020087NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimized Independence OT PLLC Occupational Therapist CurrentSince Sep 2, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1710358312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W END AVE",
            "address_2": "2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354848",
            "telephone_number": "917-969-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W END AVE",
            "address_2": "2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354848",
            "telephone_number": "917-969-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHKANETS",
        "first_name": "LENA",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63020087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.