Emilio Villavicencio, MSOT, OTR/L, CNS
NPI 1225626914ActiveIndividual· Occupational Therapist· Costa Mesa, CA
Occupational Therapist (MSOT, OTR/L, CNS) in Costa Mesa, California, licensed in CA, with an NPI issued in January 2021. Medicare paid $115,042 for services to 139 patients in 2024.
Overview
| NPI | 1225626914 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSOT, OTR/L, CNS |
| Sole proprietor | Yes |
| NPI issued | Jan 7, 2021 |
| Last updated in NPPES | Jan 7, 2021 |
| Certified by provider | Jan 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT21609 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA); Practitioner - Occupational Therapist in Private Practice (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 139 |
|---|---|
| Services billed | 4,973 across 6 procedure codes |
| Paid by Medicare | $115,042 |
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All 36 occupational therapists in Costa Mesa · All occupational therapists in California