Individual provider Active NPI

Yarianni Leal

  • Physical Therapist
  • Cedar Hill, TX
National Provider Identifier
1235836206
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
379 E FM 1382 Ste 100
Cedar Hill, TX 75104-6040
Phone
(972) 979-6577
Fax
(972) 979-6951
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary
Physical Therapist 225100000X

Addresses

Primary practice location

379 E FM 1382 Ste 100
Cedar Hill, TX 75104-6040

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

19001 County Road 334
Quinlan, TX 75474-6525
Phone (210) 416-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603000722 TX Practitioner - Physical Therapist in Private Practice 9335504406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy at Dawn, LLC Physical Therapist CurrentSince Mar 6, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince May 6, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

600 Central Ave SE
Ste D
Albuquerque, NM 87102
Phone (505) 242-2294

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

2250 E Palm Valley Blvd
Ste 205
Round Rock, TX 78665
Phone (512) 975-7199

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1235836206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 E FM 1382 STE 100",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046040",
            "telephone_number": "972-979-6577",
            "fax_number": "972-979-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19001 County Road 334",
            "address_purpose": "LOCATION",
            "city": "Quinlan",
            "state": "TX",
            "postal_code": "754746525",
            "country_code": "US",
            "telephone_number": "210-416-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL",
        "first_name": "YARIANNI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.