Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Yoon, OTD

Individual provider Occupational Therapist · NPI 1396407847

Nicole Yoon, OTD is an Occupational Therapist in Private Practice in LA Crescenta, California. Qualified in 2021, 5 years ago. Practices with Select Cs Physical Therapy PC, a 174-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

4629 Ramsdell Ave
LA Crescenta, CA 91214-2839
Phone: (213) 401-8607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 21977 (CA)

Record details

NPI number1396407847
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 12, 2021
Certification dateSeptember 11, 2021
Mailing address4629 Ramsdell Ave, La Crescenta, CA 91214-2839

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Select Cs Physical Therapy Pc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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