Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenifer Carlos De Lara, PT

Individual provider Geriatric Physical Therapist · NPI 1255654950

Jenifer Carlos De Lara, PT is a Physical Therapist in Private Practice in Evanston, Illinois. Qualified in 1994, 32 years ago. Practices with Direct Access Therapy Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1415 Sherman Ave Apt 605
Evanston, IL 60201-4453
Phone: (773) 817-2522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 070-009035 (IL)

Record details

NPI number1255654950
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 9, 2010
Last updated in NPPESMarch 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Direct Access Therapy Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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