Active NPI
Hector Alfonso Lavarello, P.T., M.S.
- Pediatric Physical Therapist
- College Point, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 015484-1
- Practice address
- 334 Julius Rd
Unit 12a
College Point, NY 11356-1265 - Phone
- (718) 661-3996
- NPI assigned
- Dec 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 015484-1 | NY | Primary |
Addresses
Primary practice location
334 Julius Rd
Unit 12a
College Point, NY 11356-1265
Mailing address
334 Julius Rd
Unit 12 a
College Point, NY 11356-1265
Phone (718) 661-3996
Other practice location 1
475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone (516) 829-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Northern Blvd
Great Neck, NY 11021-4802
Phone (516) 829-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015484-1 | NY | MD | Pediatric Physical Therapist |
| 015484 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Care Physical Therapy PC | Pediatrics | Current | Accepting new patients |
Locations
309 Northwest Dr
Farmingdale, NY 11735
Phone (516) 420-2900
27278 Grand Central Pkwy
Floral Park, NY 11005
Phone (516) 344-0030
475 Northern Blvd
Ste 11
Great Neck, NY 11021
Phone (516) 344-0023
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1932344801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 JULIUS RD",
"address_2": "UNIT 12 A",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561265",
"telephone_number": "718-661-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 JULIUS RD",
"address_2": "UNIT 12A",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561265",
"telephone_number": "718-661-3996"
}
],
"practiceLocations": [
{
"address_1": "475 Northern Blvd Ste 11",
"address_purpose": "LOCATION",
"city": "Great Neck",
"state": "NY",
"postal_code": "110214802",
"country_code": "US",
"telephone_number": "516-829-0030",
"fax_number": "516-466-7723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVARELLO",
"first_name": "HECTOR",
"middle_name": "ALFONSO",
"name_prefix": "Mr.",
"credential": "P.T., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-08",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "015484-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.