Eena Kaela Cimanes Livica, PT, ATC, CSCS, RYT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

050447 Issued in NY

Practice address

1577 Lurting Ave
Bronx, NY 10461-1509

Phone

(347) 612-3157

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1073203840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 LURTING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611509",
            "telephone_number": "347-612-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 LURTING AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611509",
            "telephone_number": "347-612-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVICA",
        "first_name": "EENA KAELA",
        "middle_name": "CIMANES",
        "credential": "PT, ATC, CSCS, RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Liveris, MD
• Jkuan Liverpool
• Livewell Pharmacy Inc
• Livica Physical Therapy P.C.
• Edgardo Mesias Livica, RPT
• Angela Rosa Livingston, M.S., CCC-SLP
• Shelley G. Livingston, LPN
• Carol Anne Livoti, M.D.,F.A.C.O.G.
• Jazel Liz
• Claribel Lizardo

• Physical Therapist in Bronx, NY
• Providers in Bronx, 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 May 15, 2023; 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.