Kelly Anne Dileonardo-Flynn, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

013900 Issued in NY

Practice address

915 Broadway Ste 1106
New York, NY 10010-7127

Phone

(212) 475-8104

Fax

(212) 475-4443

NPI assigned

Sep 13, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1780353789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 BROADWAY STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107127",
            "telephone_number": "212-475-8104",
            "fax_number": "212-475-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BROADWAY STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107127",
            "telephone_number": "212-475-8104",
            "fax_number": "212-475-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEONARDO-FLYNN",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "013900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cscmgroup.com",
            "affiliation": "N",
            "endpointDescription": "massage therapist",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 Broadway",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100107108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John J Dilallo, M.D.
• Jill E. Dilapi
• Asma Dilawari, MD
• Vanessa Dilello, MS, CCC-SLP
• Daniel Anthony Dileo, M.D.
• Anastasia M. Dilieto, PT
• Robert Thomas Dilillo, PT
• Monisha Dilip, MD
• Raga Dilip, MD
• Gloria Dill-Gaskin

• Massage Therapist in New York, NY
• Providers in New York, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.