Gennadiy Yeshu, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20143 Issued in CA

Practice address

7188 W Sunset Blvd Ste 200
Los Angeles, CA 90046-4446

Phone

(818) 927-9254

NPI assigned

Jul 8, 2019

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

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.

• MGM Therapy

  • Physical Therapist
  • Sacramento, CA
  • NPI 1982549150
  NPD Authorized official

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1760044937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 WEDDINGTON ST UNIT 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7188 W SUNSET BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900464446",
            "telephone_number": "818-927-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESHU",
        "first_name": "GENNADIY",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace C Yerro, CRNA
• Benjamin Yerushalmi, PA-C
• Eduard Yesayan, DDS
• Marilyn Yescas
• Brandon Yeshoua
• Yesnaco Health Service
• Ambeshie Yesus, M.D.
• Araxie Yetenekian-Gettas, D.M.D.
• Guadalupe Yetter, MPT
• Pallavi Yetur

• 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 Jul 8, 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.