Individual provider Active NPI

Elizaveta Nosenko, DPT

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1801687645
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308006 Issued in CA
Practice address
21731 Ventura Blvd Ste 210
Woodland Hills, CA 91364-5111
Phone
(818) 378-8902
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308006 CA Primary

Addresses

Primary practice location

21731 Ventura Blvd Ste 210
Woodland Hills, CA 91364-5111

Mailing address

21731 Ventura Blvd Ste 210
Woodland Hills, CA 91364-5111
Phone (818) 378-8902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701000933 CA Practitioner - Physical Therapist in Private Practice 0941713101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Evolution Physical Therapy IncGroup PAC ID 0244336964, 72 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

11600 Wilshire Blvd
Suite 199
Los Angeles, CA 90025-3672
Phone (424) 248-0110

11825 Major St
Suite 107
Culver City, CA 90230-6356
Phone (310) 915-6100

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 15, 2025 Accepting new patients
Evolution Physical Therapy, Inc Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

Locations

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712

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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1801687645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21731 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645111",
            "telephone_number": "818-378-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21731 VENTURA BLVD STE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645111",
            "telephone_number": "818-378-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSENKO",
        "first_name": "ELIZAVETA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.