Lara Kristine Joy Tabotabo

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

340 S Broadway
Yonkers, NY 10705-2049

Phone

(914) 968-5125

NPI assigned

Aug 7, 2019

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

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 and National Provider Directory roles.

• Burger Physical Therapy Services Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1356352082
  NPD
• Tabotabo'S Home Care LLC

  • In Home Supportive Care Agency
  • Placerville, CA
  • NPI 1912641697
  NPD
• Burger Physical Therapy and Rehabilitation Agency Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Folsom, CA
  • NPI 1457333908
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1881249761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 SANDY SOUZA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052049",
            "telephone_number": "914-968-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOTABO",
        "first_name": "LARA KRISTINE JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symphony Medical PC
• Symphony Medical PC
• Kelly Syracuse, PHARMD
• T.Y. Kim, M.D., P.C.
• Abigail Tabora, MHC-LP
• Mario Francis Tagliagambe Jr., M.D.
• Michele Talamo
• Edgardo T Talatala, RPH
• Susan Talesnick, RPH
• Tamar Essences Inc,

• Physical Therapist in Yonkers, NY
• Providers in Yonkers, 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, 2019; 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.