TIFFANY BELOUSOV OTR/L
NPI 1831684638
Occupational Therapist in Lodi, CA

Active since June 25, 2018

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany Belousov Otr/l NPPES

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

TIFFANY BELOUSOV OTR/L (NPI 1831684638) is an individual occupational therapist in Lodi, California, licensed in California (18320) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1831684638
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameTIFFANY BELOUSOVCredential: OTR/L
Location Address800 S HAM LNLodi, CA 95242-3543
Mailing Address6810 Di Lusso Dr Apt 189Elk Grove, CA 95758-5889 · (559) 707-4797
Sole ProprietorNo
Enumeration DateJune 25, 2018
✔ NPI 1831684638 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 · 18320
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.
800 S HAM LN, Lodi, CA 95242

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Belousov Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
Physical Therapist
2904 4TH AVE NE, SUITE 300
Puyallup, WA 98372
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Apple Physical Therapy LLC
  • 618 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
236 services30 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
128 services24 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
14 services14 patients

Other Providers at the Same Location NPPES 15

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

Speech-Language Pathologist
800 S HAM LN
LODI, CA 95242
Occupational Therapy Assistant
800 S HAM LN
LODI, CA 95242
Physical Therapist
800 S HAM LN
LODI, CA 95242
Physical Therapy Assistant
800 S HAM LN
LODI, CA 95242
Speech-Language Pathologist
800 S HAM LN
LODI, CA 95242
Occupational Therapist
800 S HAM LN
LODI, CA 95242
Occupational Therapist
800 S HAM LN
LODI, CA 95242
Physical Therapist
800 S HAM LN
LODI, CA 95242

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 Tiffany Belousov's NPI number?

The NPI number for Tiffany Belousov is 1831684638. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Tiffany Belousov located?

Tiffany Belousov practices at 800 S Ham Ln, Lodi, CA 95242. The listed phone number is (209) 368-7141.

What is Tiffany Belousov's specialty?

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

Is Tiffany Belousov enrolled in Medicare?

Yes. Tiffany Belousov is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tiffany Belousov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Belousov reassigns Medicare benefits to 2 organizations: Multicare Health System (Olympia, WA) and Apple Physical Therapy Ps (Puyallup, WA). 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 Tiffany Belousov'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 Tiffany Belousov was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.