Leila Montefrio Hisole Ceballos, BSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019468 Issued in NY

Practice address

2141 Deer Park Ave Ste a
Deer Park, NY 11729-1301

Phone

(631) 940-9317

Fax

(631) 254-0784

NPI assigned

Feb 2, 2007

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.

• Therapeutic Physical Therapy PC

  • Physical Therapist
  • Westbury, NY
  • NPI 1093853657
  NPD Authorized official
• BLC Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Westbury, NY
  • NPI 1255792552
  NPD (past) Authorized official

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1932247590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291301",
            "telephone_number": "631-940-9317",
            "fax_number": "631-254-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 DEER PARK AVE STE A",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291301",
            "telephone_number": "631-940-9317",
            "fax_number": "631-254-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISOLE CEBALLOS",
        "first_name": "LEILA",
        "middle_name": "MONTEFRIO",
        "name_prefix": "Mrs.",
        "credential": "BSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Andrew Henner, DMD
• Glenys Hernandez, PA
• Ronny Herskovits, MD
• Hills Park Dental
• Carol Jean Hirtzel, PTA
• Kaitlin Horne
• Mary Ellen Horne, LMT
• HST DME Care Inc
• Hui Zhao Acupuncture P.C.
• Jade Hull, CMA, LPN

• Physical Therapist in Deer Park, NY
• Providers in Deer Park, 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 Jan 28, 2025; 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.