Individual provider Active NPI

Lee Ann Yanni, DPT, ATC

  • Physical Therapist
  • Boston, MA
National Provider Identifier
1255441127
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
654 Beacon St
Boston, MA 02215-2099
Phone
(617) 536-1161
NPI assigned
Aug 30, 2006
Last updated
Sep 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

654 Beacon St
Boston, MA 02215-2099

Mailing address

14 Keswick St Apt 4
Boston, MA 02215-3729
Phone (904) 599-3289

Other identifiers 2

IdentifierTypeStateIssuer
PT 22486OtherFLLICENSE #
20039OtherMALICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210002087 FL Practitioner - Physical Therapist in Private Practice 5496905374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, 1,125 clinicians

Practice addresses (Care Compare)

12321 Stoneybrook W Pkwy
Winter Garden, FL 34787-4199
Phone (407) 410-8746

7483 Sandlake Commons Blvd
Suite 108
Orlando, FL 32819-8045
Phone (407) 410-8759

8585 SW Hwy 200
Unit 8
Ocala, FL 34481-9643
Phone (352) 693-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services, Inc CurrentSince Jan 16, 2026 Accepting new patients
Cora Health Services, Inc. CurrentSince Jan 16, 2026 Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Therapist PastSince May 16, 2019 Accepting new patients
Eric J Roseen DC LLC Past Accepting new patients
Joint Ventures Physical Therapy, Inc. Past Accepting new patients

Locations

1114 Bichara Blvd
The Villages, FL 32159
Phone (352) 557-0832

12321 Stoneybrook West Pkwy
Ste B
Winter Garden, FL 34787
Phone (407) 410-8746

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1255441127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KESWICK ST APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153729",
            "telephone_number": "904-599-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 BEACON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152099",
            "telephone_number": "617-536-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNI",
        "first_name": "LEE ANN",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT 22486",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "20039",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.