Winny Soenaryo, OT
NPI 1104483023 · Occupational Therapist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Winny Soenaryo, OT is a Occupational Therapist provider in Los Angeles, CA (NPI 1104483023).
Provider details
- NPI number
- 1104483023
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT18762 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-27
- Last updated
- 2022-06-17
- Certified
- 2022-06-17
Frequently asked questions
- What is Winny Soenaryo's NPI number?
- Winny Soenaryo's National Provider Identifier (NPI) is 1104483023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Winny Soenaryo's specialty?
- Winny Soenaryo is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Winny Soenaryo located?
- Winny Soenaryo's practice location on file with NPPES is 1640 Marengo St Ste 500, Los Angeles, CA 90033-1061.
- What is Winny Soenaryo's phone number?
- The practice phone number listed in the NPPES registry for Winny Soenaryo is (323) 442-3340.
- Does Winny Soenaryo accept Medicare?
- Winny Soenaryo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Winny Soenaryo's NPI active?
- Yes — Winny Soenaryo's NPI (1104483023) is active in the NPPES registry as of the last update on 2022-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.