Mrs. Amy Caryn Bolenbaugh
Recreation Therapist

Address: 1720 E 120th Street, Los Angeles, CA 90059
Phone: 4243382430

Mrs. Amy Caryn Bolenbaugh (NPI# 1699293910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1699293910
Entity Type Individual
Full Name Mrs. Amy Caryn Bolenbaugh
Credential CTRS
Gender Female
Practice Address 1720 E 120th Street
Los Angeles
CA 90059
Practice Telephone 4243382430
Mailing Address 1720 E 120th St
Los Angeles
CA 90059-3052
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-09-07
Last Update Date 2017-09-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 225800000X Recreation Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417550963 Jinell Singletary Recreation Therapist 6130 Avalon Blvd Unit 507, Los Angeles, CA 90003-1633 2020-11-18
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1558444745 Sether M. Hills Recreation Therapist 11301 Wilshire Blvd # 117r, Los Angeles, CA 90073-1003 2006-10-23
1609339399 Don Quy Le Recreation Therapist 947 Cole Ave, Los Angeles, CA 90038-2610 2019-04-09
1881106458 Sharon Mccohn Recreation Therapist 1720 E 120th St, Los Angeles, CA 90059-3052 2017-11-03
1154833614 Victoria Slater Recreation Therapist 2051 Marengo St, Los Angeles, CA 90033-1352 2017-10-24
1144732603 Lorena Correa Villa Recreation Therapist 1720 E 120th St, Los Angeles, CA 90059-3052 2017-10-24
1558889717 Cindy Jean Herceg Recreation Therapist 1720 E 120th St, Los Angeles, CA 90059-3052 2017-09-07
1386162824 Maureen Gates Recreation Therapist 1720 E 120th St, Los Angeles, CA 90059-3052 2017-09-05
1932627478 Willy Huang Recreation Therapist 1720 E 120th St, Los Angeles, CA 90059-3052 2017-09-05
Find all providers in LOS ANGELES

Office Location

Street Address 1720 E 120TH STREET
City LOS ANGELES
State CA
Zip Code 90059

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891399820 Omowunmi M Abioro Nurse Practitioner 1670 E. 120th Street Los Angeles California., Los Angeles, CA 90059 2020-11-30
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
Find all providers in zip 90059

Competitor

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City LOS ANGELES
Zip Code 90059

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.