Active NPI
Daria Michelle Lerro, MSPT
- Pediatric Physical Therapist
- Bayside, NY
National Provider Identifier
1154461713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 063598
- Practice address
- 20001 42ND Ave
Bayside, NY 11361-1872 - Phone
- (718) 224-0490
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 063598 | NY | Primary |
Addresses
Primary practice location
20001 42ND Ave
Bayside, NY 11361-1872
Mailing address
1732 Auburn Rd
Wantagh, NY 11793-3513
Phone (516) 781-6797
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063598 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1154461713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 AUBURN RD",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933513",
"telephone_number": "516-781-6797",
"fax_number": "516-781-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20001 42ND AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113611872",
"telephone_number": "718-224-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERRO",
"first_name": "DARIA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "063598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.