LIZA KUSTANTIN – Occupational Therapist, NPI 1184167397

LIZA KUSTANTIN is a healthcare provider. based in West hollywood, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. OT16697 (CA). The NPI Number for LIZA KUSTANTIN is 1184167397

Main info

Female
Sole Proprietor
10 Years Of Experience
Name
LIZA KUSTANTIN
NPI
1184167397
Phone
(586) 596-0452
Address
930 PALM AVE
Enumeration Date
21 November 2016
Last Update Date
21 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
7719487578
Professional Enrollment ID
I20250826000533
Address ID
PA160665023CR125XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for LIZA KUSTANTIN

  • Villa Francisca, 930, Palm Avenue, Sunset Strip, West Hollywood, Los Angeles County, California, 90069, United States

    402

    WEST HOLLYWOOD, CA 900694066

    Phone: (586) 596-0452

    Type: Mailing

  • 1515, North Alexandria Avenue, Los Feliz, Los Angeles, Los Angeles County, California, 90027, United States

    LOS ANGELES, CA 900275203

    Phone: (323) 660-1800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250826000533IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90069)

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Reviews

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Frequently asked questions

What NPI should I save for LIZA KUSTANTIN?
Save NPI 1184167397 if you need a stable reference for LIZA KUSTANTIN.
Does this profile mean LIZA KUSTANTIN is currently active?
Yes — LIZA KUSTANTIN appears active in the national provider directory.
What field does LIZA KUSTANTIN work in?
You can think of LIZA KUSTANTIN as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is LIZA KUSTANTIN's primary listing?
We display West Hollywood, California because that is what the record indicates for LIZA KUSTANTIN.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.