Individual provider Active NPI

Elena N Levtchenko, OTR/L

  • Occupational Therapist
  • Tarzana, CA
National Provider Identifier
1972135705
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8473 Issued in CA
Practice address
18425 Burbank Blvd Ste 520
Tarzana, CA 91356-6687
Phone
(818) 758-2673
Fax
(818) 264-7787
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 8473 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd Ste 520
Tarzana, CA 91356-6687

Mailing address

18601 Sherman Way Ste B157
Reseda, CA 91335-4100
Phone (818) 419-4066

Other practice location 1

920 W Alameda Ave
Burbank, CA 91506-2802
Phone (818) 842-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Corf, Inc. PastSince Oct 16, 2022 Accepting new patients
Cuznz LTD Burbank Therapy Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1972135705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 SHERMAN WAY STE B157",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354100",
            "telephone_number": "818-419-4066",
            "fax_number": "818-827-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD STE 520",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566687",
            "telephone_number": "818-758-2673",
            "fax_number": "818-264-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 W Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915062802",
            "country_code": "US",
            "telephone_number": "818-842-9277",
            "fax_number": "818-475-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVTCHENKO",
        "first_name": "ELENA",
        "middle_name": "N",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8473",
            "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 Oct 1, 2022; 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.