Yamila Nicasio, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01928400 Issued in NJ

Practice address

119 Danforth Ave
Paterson, NJ 07501-3203

Phone

(973) 413-0090

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley HospitalGroup PAC ID 2961310446, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lehigh Valley Hospital

  dba Lehigh Valley Health Network Rehabilitation Services

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1356769616
  Medicare reassignment Care Compare group NPD
• Lehigh Valley Hospital

  • Psychiatric Hospital Unit
  • Bethlehem, PA
  • NPI 1609834001
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1790393916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 DANFORTH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013203",
            "telephone_number": "973-413-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 DANFORTH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013203",
            "telephone_number": "973-413-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICASIO",
        "first_name": "YAMILA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01928400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey MRI Systems
• Raven Newcombe
• Melinda Ngo, PHARMD
• Ngozi Medical Transportation
• Maham Niaz
• Susan Nierenberg, CNM
• Luz Celeste Nieves, M.D.
• Marissa Nimnual, PHARMD, BCPS
• Rabbiya Nisar, MD
• Gerri S Nizza, LCSW

• Physical Therapist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.