Fara Desfor Le Breton, PT, MSC, MACP

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

016820-1 Issued in NY

Practice address

30 W 57TH St
6TH Floor
New York, NY 10019-3916

Phone

(212) 317-9798

NPI assigned

Mar 20, 2007

Sex

Female

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)

Not enrolled

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.

• Eveline Erni, Physical Therapy

  • Physical Therapist
  • New York, NY
  • NPI 1578778965
  NPD (past)
• Pivotal Physical Therapy, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1063554806
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679698484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 71ST ST",
            "address_2": "#5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W 57TH ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193916",
            "telephone_number": "212-317-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE BRETON",
        "first_name": "FARA",
        "middle_name": "DESFOR",
        "name_prefix": "Mrs.",
        "credential": "PT, MSC, MACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "016820-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LCC Nutrition Group, Inc.
• Lco Dental Usq, PC
• LDS Family Services
• Mously Almoza Le Blanc, MD
• Michelle Manuala Le Bow, PSY.D.
• Eric Galen Le Clair, PA-C
• Noemie Le Pertel, DACM, L.AC., L.M.T.
• Catherine A Le Solliec, M.S. ED
• Joan Phyllis Le Var, LCSW
• Jason Charles Le Vere

• Orthopedic Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Orthopedic Physical Therapist in New York

• 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.