Individual provider Active NPI

Ainsley Dilag, OTR/L

  • Occupational Therapist
  • Tarzana, CA
National Provider Identifier
1740847359
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26694 Issued in CA
Practice address
18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345
Phone
(818) 812-5300
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 26694 CA Primary

Addresses

Primary practice location

18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345

Mailing address

18757 Burbank Blvd Ste 118
Tarzana, CA 91356-6345
Phone (818) 812-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812003702 CA Practitioner - Occupational Therapist in Private Practice 0941748792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

18757 Burbank Blvd
Suite 118
Tarzana, CA 91356-6345
Phone (818) 812-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Occupational Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 29, 2024 Accepting new patients
Select CS Physical Therapy, P.C. Occupational Therapist CurrentSince Jul 29, 2024 Accepting new patients

Locations

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

18757 Burbank Blvd
Ste 118
Tarzana, CA 91356
Phone (818) 812-5300

Organizations & group practices 3

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1740847359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD STE 118",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566345",
            "telephone_number": "818-812-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18757 BURBANK BLVD STE 118",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566345",
            "telephone_number": "818-812-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILAG",
        "first_name": "AINSLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.