Liesly Guimaray Altamirano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034565 Issued in NY

Practice address

3717 111TH St Apt 2E
Corona, NY 11368-3816

Phone

(917) 434-6357

NPI assigned

Mar 31, 2015

Last updated

Jun 17, 2021By 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

Other names 1

• Ms. Liesly Relano Guimaray Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

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  Medicare reassignment NPD
• Esd PT OT & SLP PLLC

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  • NPI 1003383308
  Medicare reassignment NPD
• Link Home Therapy Services of Ny-PT OT SLP PLLC

  • Physical Therapy Clinic/Center
  • Valley Stream, NY
  • NPI 1942782966
  Medicare reassignment NPD
• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003
  Medicare reassignment

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1972998656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 HAMILTON WAY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534957",
            "telephone_number": "917-434-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 111TH ST APT 2E",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683816",
            "telephone_number": "917-434-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "LIESLY",
        "middle_name": "GUIMARAY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIESLY",
            "last_name": "GUIMARAY",
            "middle_name": "RELANO",
            "prefix": "MS.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tayyaba Ali
• All in One Medical Care PC
• Limor Allaeb, PHARMD
• Luis Almonte
• Alondra Altamirano, RT(R) ARRT
• Verny Bryan Alvarado-Galgano
• Ivannia Nastashia Alvarez-Barto, RPA-C
• Kristina Aminova
• Mohammad Aminullah, R.PH
• Lissette Andramuno

• Physical Therapist in Corona, NY
• Providers in Corona, 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 Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.