MS. IRINA EVMENENKO MS/OT
NPI 1710236237
Occupational Therapist in Brooklyn, NY

Active since August 29, 2012Accepts Medicare Assignment
4302 NEW UTRECHT AVE, BROOKLYN, NY 11219(718) 686-9600 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Irina Evmenenko Ms/ot NPPES

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

MS. IRINA EVMENENKO MS/OT (NPI 1710236237) is an individual occupational therapist in Brooklyn, New York, licensed in New York (P83166) and active in the NPI registry since August 2012. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1710236237
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. IRINA EVMENENKOCredential: MS/OT
Location Address4302 NEW UTRECHT AVEBrooklyn, NY 11219-1831
Mailing Address1710 E 17th St Apt C5Brooklyn, NY 11229-2142 · (646) 204-6811
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2012
✔ NPI 1710236237 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 NY · P83166
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.
4302 NEW UTRECHT AVE, Brooklyn, NY 11219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Irina Evmenenko Ms/ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527320274
PECOS Enrollment IDI20180319000497

Medicare Billing Reassignments

2

Medicare enrollment records show Irina Evmenenko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
2632 ATLANTIC AVE
Brooklyn, NY 11207
  • Reassigned Medicare billing, New York enrollment
  • 178 clinicians in this Medicare group
Physical Therapy
441 ROUTE 306 STE 2
Monsey, NY 10952
  • Reassigned Medicare billing, New York enrollment
  • 86 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Case Management
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Specialist
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Developmental Therapist
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Case Manager/Care Coordinator
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Specialist
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Specialist
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219
Occupational Therapist
4302 NEW UTRECHT AVE
BROOKLYN, NY 11219

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 Irina Evmenenko's NPI number?

The NPI number for Irina Evmenenko is 1710236237. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Irina Evmenenko located?

Irina Evmenenko practices at 4302 New Utrecht Ave, Brooklyn, NY 11219. The listed phone number is (718) 686-9600.

What is Irina Evmenenko's specialty?

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

Is Irina Evmenenko enrolled in Medicare?

Yes. Irina Evmenenko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Irina Evmenenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Evmenenko reassigns Medicare benefits to 2 organizations: Esd Pt Ot & Slp PLLC (Brooklyn, NY) and Homeside Rehab, Pt, Ot, Slp LLC (Monsey, NY). Each 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 Irina Evmenenko'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 Irina Evmenenko was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.