ELIZAVETA KHOLOLEYENKO OTR/L
NPI 1962020776
Occupational Therapist in Brooklyn, NY
About Elizaveta Khololeyenko Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZAVETA KHOLOLEYENKO OTR/L (NPI 1962020776) is an individual occupational therapist in Brooklyn, New York, licensed in New York (024772) and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizaveta Khololeyenko Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizaveta Khololeyenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11223
- Reassigned Medicare billing, New York enrollment
- 19 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 Elizaveta Khololeyenko's NPI number?
The NPI number for Elizaveta Khololeyenko is 1962020776. It was assigned to this individual provider in the NPPES registry on July 8, 2020. The provider is also known as Elizabeth Khololeyenko Otr/L.
Where is Elizaveta Khololeyenko located?
Elizaveta Khololeyenko practices at 865 Avenue Z Apt 3A, Brooklyn, NY 11235. The listed phone number is (347) 602-3714.
What is Elizaveta Khololeyenko's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Elizaveta Khololeyenko enrolled in Medicare?
Yes. Elizaveta Khololeyenko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizaveta Khololeyenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizaveta Khololeyenko reassigns Medicare benefits to Precision Care Medical PC (Brooklyn, NY). 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 Elizaveta Khololeyenko'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 Elizaveta Khololeyenko was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.