Yvette Leonil De Lara

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034547 Issued in NY

Practice address

15144 82ND St
Howard Beach, NY 11414-1777

Phone

(718) 738-2550

NPI assigned

Jul 22, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1417364449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 KNEELAND AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734103",
            "telephone_number": "718-974-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15144 82ND ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141777",
            "telephone_number": "718-738-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LARA",
        "first_name": "YVETTE LEONIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caterina Dagostino, RPH
• Michelle Monica Daly, M.A., CCC-SLP
• Daniel a. Riegel, MD PLLC
• Tara Dark-Lieber, TSHH, CCC-SLP
• Yana Nerissa Andrea Pallarca Dayao, OTR/L
• Samantha Decicco
• Rosanne Delprete
• Jamie Marc Denaro, OPTICIAN
• Danielle Denovellis Scopinich, MA SLP-CCC
• John Derenzo, SLP

• Physical Therapist in Howard Beach, NY
• Providers in Howard Beach, 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 Jul 22, 2014; 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.