EYOUEL HAILU
NPI 1467105502
Occupational Therapist in Los Angeles, CA

Active since January 29, 2022
2901 S SEPULVEDA BLVD APT 366, LOS ANGELES, CA 90064(818) 602-8571 Get Directions Write a Review

NPPES record last updated: January 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eyouel Hailu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYOUEL HAILU (NPI 1467105502) is an individual occupational therapist in Los Angeles, California, licensed in California (21428) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1467105502
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameEYOUEL HAILU
Location Address2901 S SEPULVEDA BLVD APT 366Los Angeles, CA 90064-3993
Mailing Address2901 S Sepulveda Blvd Apt 366Los Angeles, CA 90064-3993 · (818) 602-8571
Sole ProprietorNo
Enumeration DateJanuary 29, 2022
NPPES CertifiedJanuary 29, 2022
✔ NPI 1467105502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in CA · 21428
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2901 S SEPULVEDA BLVD APT 366, Los Angeles, CA 90064

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eyouel Hailu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Eyouel Hailu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
4501 MISSION BAY DR, SUITE 3K
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyouel Hailu's NPI number?

The NPI number for Eyouel Hailu is 1467105502. It was assigned to this individual provider in the NPPES registry on January 29, 2022.

Where is Eyouel Hailu located?

Eyouel Hailu practices at 2901 S Sepulveda Blvd Apt 366, Los Angeles, CA 90064. The listed phone number is (818) 602-8571.

What is Eyouel Hailu's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Eyouel Hailu enrolled in Medicare?

Yes. Eyouel Hailu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eyouel Hailu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eyouel Hailu reassigns Medicare benefits to Crs Physical Therapy Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eyouel Hailu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eyouel Hailu was last updated on January 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.