Individual provider Active NPI

Telisha Quezada, DPT

  • Physical Therapist
  • Altamonte Springs, FL
National Provider Identifier
1134010069
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43078 Issued in FL
Practice address
307 Cranes Roost Blvd Ste 2040
Altamonte Springs, FL 32701-3441
Phone
(407) 807-7129
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0019120 CO
Physical Therapist 225100000X 43078 FL Primary

Addresses

Primary practice location

307 Cranes Roost Blvd Ste 2040
Altamonte Springs, FL 32701-3441

Mailing address

213 E Hillcrest St
Altamonte Springs, FL 32701-7632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922000183 FL Practitioner - Physical Therapist in Private Practice 9638673726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saylor Physical Therapy of Lake Mary LLCGroup PAC ID 9830340207, 4 clinicians

Practice addresses (Care Compare)

925 Williston Park PT
Suite 1001
Lake Mary, FL 32746-2114
Phone (407) 732-6926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0019120COMDPhysical Therapist
43078FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy of Lake Mary LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Ability Health Services Inc Physical Therapist PastSince Jul 13, 2025 Accepting new patients

Locations

307 Cranes Roost Blvd
Ste 2040
Altamonte Springs, FL 32701
Phone (407) 807-7129

925 Williston Park Pt
Ste 1001
Lake Mary, FL 32746
Phone (407) 732-6926

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1134010069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E HILLCREST ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CRANES ROOST BLVD STE 2040",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013441",
            "telephone_number": "407-807-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "TELISHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019120",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "43078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.