Lenis Jannil Alicea-Yildirim, PT,MED

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9761 Issued in FL

Practice address

12963 Entrada Dr
Orlando, FL 32837-4617

Phone

(321) 229-4403

NPI assigned

Mar 26, 2007

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

Other names 1

• Lenis Jannil Alicea-Benitez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Knead to Be Fit, Inc

  • Physical Therapist
  • Orlando, FL
  • NPI 1699732438
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12963 ENTRADA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374617",
            "telephone_number": "321-229-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12963 ENTRADA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374617",
            "telephone_number": "321-229-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA-YILDIRIM",
        "first_name": "LENIS",
        "middle_name": "JANNIL",
        "credential": "PT,MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "9761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENIS",
            "last_name": "ALICEA-BENITEZ",
            "middle_name": "JANNIL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Syed Shaheer Ali
• Nicole Aliaga
• Julieta A Alibudbud-Cardines, PT
• Leismarie Alicea Estrada
• Genesis Alicea-Aloyo
• Annaliese Luz Alicea, COTA
• Carlos Rene Alicea Jr., SLP-A
• Karymar Alicea
• Luis F Alicea, DMD
• Maisie Alicea

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.