Ernest Richard Ledesma Jr., PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT003700 Issued in GA

Practice address

124 Post House TRL
Pooler, GA 31322-9624

Phone

(912) 450-1468

Fax

(912) 450-1470

NPI assigned

Nov 29, 2006

Last updated

Oct 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ledesma Sports Medicine LLCGroup PAC ID 1456543321, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• Ledesma Sports Medicine LLC

  • Physical Therapist
  • Savannah, GA
  • NPI 1306157896
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Therapy Inc

  • Physical Therapy Clinic/Center
  • Savannah, GA
  • NPI 1346366796
  NPD (past)
• Coastal Therapy Inc

  • Physical Therapy Clinic/Center
  • Savannah, GA
  • NPI 1992821367
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1063589042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EISENHOWER DR",
            "address_2": "BLDG 1400 SUITE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061600",
            "telephone_number": "912-401-0443",
            "fax_number": "912-401-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 POST HOUSE TRL",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229624",
            "telephone_number": "912-450-1468",
            "fax_number": "912-450-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "ERNEST",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT003700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "65BBBNL",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PT",
            "identifier": "PT003700",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Lanigan
• Sara Marie Laudermilch
• Melinda Matherly Lavecchia, PA
• Lawrence E Ruf MD PC
• Kimberly Nicole Lawton
• Idasha Lee
• Danyel C Lendrum
• Charles Max Lesslie
• John Lewis, RBT
• Patricia J Lewis

• Specialist in Pooler, GA
• Providers in Pooler, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.

Verify at the official NPI Registry.