Lesley S Sevillena, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01135700 Issued in NJ

Practice address

311 North St Ste 304
White Plains, NY 10605

Phone

(914) 448-4777

Fax

(914) 448-4788

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lesley Benveniste Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare Physical Therapy of Ny, P.C.Group PAC ID 8123102092, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sportscare Physical Therapy of Ny, P.C.

  • Physical Therapist
  • West Nyack, NY
  • NPI 1003098138
  Medicare reassignment Care Compare group NPD
• New Jersey Spine & Sports Medicine, P.C.

  • Specialist
  • Rutherford, NJ
  • NPI 1235260522
  NPD (past)
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1003906231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH ST STE 304",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10605",
            "telephone_number": "914-448-4777",
            "fax_number": "914-448-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Murray Hill Parkway",
            "address_2": "Ste 220 South",
            "address_purpose": "LOCATION",
            "city": "East Rutherford",
            "state": "New Jersey",
            "postal_code": "07073",
            "country_code": "JE",
            "telephone_number": "201-964-0200",
            "fax_number": "201-964-0220",
            "country_name": "Jersey",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "SEVILLENA",
        "first_name": "LESLEY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01135700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLEY",
            "last_name": "BENVENISTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Halie Serbent, M.S. CCC-SLP
• Asma Waqar Sethi
• Neeta V Sethi, NURSE PRACTITIONER
• Claudia Seuss, MD
• Lawrence John Severino, M.D.
• Kristen Jenine Seymour, RN
• Melina Shabani, M.D.
• Matthew L Shafiroff, MD
• Amee Mahendrakumar Shah, D.O.
• Deena Shah, M.D.

• Physical Therapist in White Plains, NY
• Providers in White Plains, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.