Individual provider Active NPI

Lea Esguerra, PT

  • Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1063626398
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16539 Issued in FL
Practice address
26837 Tanic Dr
Suite 101
Wesley Chapel, FL 33544-4605
Phone
(813) 527-6913
Fax
(813) 527-6989
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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 PT16539 FL Primary

Addresses

Primary practice location

26837 Tanic Dr
Suite 101
Wesley Chapel, FL 33544-4605

Mailing address

26837 Tanic Dr
Suite 101
Wesley Chapel, FL 33544-4605
Phone (813) 527-6913

Other names 1

  • Miss Lea Malbog Manangan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000170 FL Practitioner - Physical Therapist in Private Practice 7618149634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookline Physical Therapy IncGroup PAC ID 6800068826, 2 clinicians

Practice addresses (Care Compare)

10691 Cross Creek Blvd
Suite 200
Tampa, FL 33647-4058
Phone (813) 527-6913

6751 Gall Blvd
Zephyrhills, FL 33542-2522
Phone (813) 527-6913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16539FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookline Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2011 Accepting new patients

Locations

10691 Cross Creek Blvd
Ste 200
Tampa, FL 33647
Phone (813) 527-6913

26837 Tanic Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 527-6913

6751 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 527-6913

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1063626398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26837 TANIC DR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444605",
            "telephone_number": "813-527-6913",
            "fax_number": "813-527-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26837 TANIC DR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444605",
            "telephone_number": "813-527-6913",
            "fax_number": "813-527-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESGUERRA",
        "first_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "MANANGAN",
            "middle_name": "MALBOG",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.