Individual provider Active NPI

Lyra Escobar, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1013588482
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28633 Issued in FL
Practice address
1240 Marbella Plaza Dr
Tampa, FL 33619-7906
Phone
(813) 341-2726
Fax
(813) 341-2755
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28633 FL Primary

Addresses

Primary practice location

1240 Marbella Plaza Dr
Tampa, FL 33619-7906

Mailing address

1240 Marbella Plaza Dr
Tampa, FL 33619-7906
Phone (813) 341-2726

Other practice location 1

3201 Flagler Ave Ste 512
Key West, FL 33040-4693
Phone (305) 204-4577

Other practice location 2

90130 Old Hwy
Tavernier, FL 33070-2368
Phone (305) 204-4577

Other practice location 3

4702 Cortez Rd W
Bradenton, FL 34210-2801
Phone (941) 253-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT28633FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Rehabilitation, LLC Physical Therapist PastSince Sep 15, 2020 Accepting new patients
Therapeutic Lifestyle Solutions LLC Physical Therapist PastSince Mar 26, 2016 Accepting new patients

Organizations & group practices 2

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1013588482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 MARBELLA PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197906",
            "telephone_number": "813-341-2726",
            "fax_number": "813-341-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 MARBELLA PLAZA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197906",
            "telephone_number": "813-341-2726",
            "fax_number": "813-341-2755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Flagler Ave Ste 512",
            "address_purpose": "LOCATION",
            "city": "Key West",
            "state": "FL",
            "postal_code": "330404693",
            "country_code": "US",
            "telephone_number": "305-204-4577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90130 Old Hwy",
            "address_purpose": "LOCATION",
            "city": "Tavernier",
            "state": "FL",
            "postal_code": "330702368",
            "country_code": "US",
            "telephone_number": "305-204-4577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4702 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102801",
            "country_code": "US",
            "telephone_number": "941-253-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "LYRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.