Lesly Devoliere Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045121 Issued in NY

Practice address

41 Atlantic Ave
Lynbrook, NY 11563-3007

Phone

(917) 808-5412

NPI assigned

Jun 9, 2019

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Quality Movement Restoration, LLC

  • Physical Therapy Clinic/Center
  • Lynbrook, NY
  • NPI 1831796713
  NPD Authorized official

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1396304838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633007",
            "telephone_number": "917-808-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633007",
            "telephone_number": "917-808-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOLIERE JR.",
        "first_name": "LESLY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-09",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Derri, LMHC
• Ruth Desrameaux, RN
• Tamara B Desvarieux, NP
• Brian S Deveaux, PT
• Catherine Claire Devine-Grehan, PH.D.
• Filippo Di Carmine, M.D.
• Dia-Betics, LTD.
• Christina Rose Dibernardo, LMHC, BCB
• Karen Theresa Dichter, MS ED
• Deanna Dicosimo

• Physical Therapist in Lynbrook, NY
• Providers in Lynbrook, 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 Aug 7, 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.