1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Physical Therapist
  6. NPI Profile

JENIFER CARLOS DE LARA PT
NPI 1255654950
Physical Therapist - Geriatrics in Evanston, IL

Active since March 09, 2010
1415 SHERMAN AVE, APT. 605, EVANSTON, IL 60201(773) 817-2522 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jenifer Carlos De Lara Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENIFER CARLOS DE LARA PT (NPI 1255654950) is an individual geriatrics provider in Evanston, Illinois, licensed in Illinois (070-009035) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1255654950
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameJENIFER CARLOS DE LARACredential: PT
Location Address1415 SHERMAN AVE, APT. 605Evanston, IL 60201-4453
Mailing Address1415 Sherman Avenue #605Evanston, IL 60201 · (773) 817-2522
Phone(773) 817-2522
Sole ProprietorNo
Enumeration DateMarch 9, 2010
✔ NPI 1255654950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in IL · 070-009035
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
1415 SHERMAN AVE, Evanston, IL 60201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenifer Carlos De Lara Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jenifer De Lara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Direct Access Therapy, Inc
12 mi
Physical Therapist
101 N EUCLID AVE, UNIT #29
Oak Park, IL 60301
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1902072523 (708) 383-8705

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,740 services68 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,005 services65 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
322 services52 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
237 services21 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
51 services43 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenifer De Lara's NPI number?

The NPI number for Jenifer De Lara is 1255654950. It was assigned to this individual provider in the NPPES registry on March 9, 2010.

Where is Jenifer De Lara located?

Jenifer De Lara practices at 1415 Sherman Ave Apt. 605, Evanston, IL 60201. The listed phone number is (773) 817-2522.

What is Jenifer De Lara's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Jenifer De Lara enrolled in Medicare?

Yes. Jenifer De Lara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenifer De Lara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenifer De Lara reassigns Medicare benefits to Direct Access Therapy, Inc (Oak Park, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenifer De Lara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenifer De Lara was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.