Individual provider Active NPI

Yulisa Umana-Chan

  • Pediatric Physical Therapist
  • Little Neck, NY
National Provider Identifier
1013233915
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
032497 Issued in NY
Practice address
24928 Rushmore Ter
Little Neck, NY 11362-1326
Phone
(516) 850-6526
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 032497 NY Primary

Addresses

Primary practice location

24928 Rushmore Ter
Little Neck, NY 11362-1326

Mailing address

24928 Rushmore Ter
Little Neck, NY 11362-1326
Phone (516) 850-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1013233915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24928 RUSHMORE TER",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621326",
            "telephone_number": "516-850-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24928 RUSHMORE TER",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621326",
            "telephone_number": "516-850-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMANA-CHAN",
        "first_name": "YULISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "032497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.