Jae Yoon Im, in Burbank, CA - Medicare Occupational Therapist In Private Practice Provider

Jae Yoon Im, is a medicare enrolled "Occupational Therapist" provider in Burbank, California. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. He is a member of the group practice Performing Arts Physical Therapy Of Los Angeles Inc and his current practice location is 4100 W Alameda Ave # 346, Burbank, California. You can reach out to his office (for appointments etc.) via phone at (818) 900-6565.

Jae Yoon Im is licensed to practice in California (license number OT23705) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215713748.

Contact Information

	Jae Yoon Im,
	4100 W Alameda Ave # 346, Burbank, CA 91505-4195
	(818) 900-6565
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jae Yoon Im
Gender	Male
Speciality	Occupational Therapist In Private Practice
Experience	5 Years
Location	4100 W Alameda Ave # 346, Burbank, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jae Yoon Im graduated from medical school in 2021

NPI Data:

NPI Number: 1215713748
Provider Enumeration Date: 08/31/2023
Last Update Date: 02/05/2026

Medicare PECOS Information:

PECOS PAC ID: 4183071301
Enrollment ID: I20231109002567

Medical Identifiers

Medical identifiers for Jae Yoon Im such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215713748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT23705 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Performing Arts Physical Therapy Of Los Angeles Inc	2668518044	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jae Yoon Im allows following entities to bill medicare on his behalf.

Provider Name	Performing Arts Physical Therapy Of Los Angeles Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326085838 PECOS PAC ID: 2668518044 Enrollment ID: O20091113000490

Provider Name	Williams Speech Therapy Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740637834 PECOS PAC ID: 5698067957 Enrollment ID: O20160714000133

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jae Yoon Im is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jae Yoon Im, 940 Elden Ave Unit 302, Los Angeles, CA 90006-5845 Ph: (310) 386-7768	Jae Yoon Im, 4100 W Alameda Ave # 346, Burbank, CA 91505-4195 Ph: (818) 900-6565

Reviews and Comments

Occupational Therapist in Burbank, CA

Fushia Crooms, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 N Glenoaks Blvd Ste 200, Burbank, CA 91502 Phone: 323-229-6025
Samantha Rose Truono, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 455 E Angeleno Ave, Burbank, CA 91501 Phone: 818-972-2405
Hallie Spigelman, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2701 W Alameda Ave Ste 206, Burbank, CA 91505 Phone: 818-579-2370
Jasmine Mae Ferrer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 455 E Angeleno Ave, Burbank, CA 91501 Phone: 818-873-4080
Ms. Ellen Katherine Bridge, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 334 South Lincoln Street, Burbank, CA 91506 Phone: 818-613-1740 Fax: 818-735-0857
Mariam Makar, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2721 W Willow St, Burbank, CA 91505 Phone: 213-513-5854
Janae Grimshaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 355 N Maple St Apt 218, Burbank, CA 91505 Phone: 310-946-8305

Jae Yoon Im, - Medicare Occupational Therapist in Burbank, CA