Individual provider Active NPI

Hoang Cam Le, P.T.

  • Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1215927645
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 8145 Issued in FL
Practice address
27553 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6974
Phone
(813) 631-9700
Fax
(813) 631-9770
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 PT 8145 FL Primary

Addresses

Primary practice location

27553 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6974

Mailing address

27553 Cashford Cir
Ste 101
Wesley Chapel, FL 33544-6911
Phone (813) 631-9700

Other identifiers 3

IdentifierTypeStateIssuer
830027500MedicaidFL
Y0774ZOtherFLBLUE CROSS BLUE SHIELD
830027596OtherFLMEDICAID WAIVER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000203 FL Practitioner - Physical Therapist in Private Practice 7719960418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8726 Old County Rd
Suite 54
New Port Richey, FL 34653-6421
Phone (813) 631-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 8145FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ginger Fitness and Rehabilitation Inc CurrentSince Feb 26, 2002 Accepting new patients
Pain Consultants of West Florida CurrentSince Apr 11, 2021 Accepting new patients

Locations

8726 Old County Road 54
New Prt Rchy, FL 34653
Phone (813) 631-9700

4624 N Davis Hwy
Pensacola, FL 32503
Phone 85049400002014

1701 S Alexander St
Ste 111
Plant City, FL 33566
Phone (813) 631-9700

8455 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 600-5144

5035 E Busch Blvd
Ste 7
Tampa, FL 33617
Phone (813) 631-9700

27553 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 631-9700

27553 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 631-9700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1215927645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27553 CASHFORD CIR",
            "address_2": "STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446911",
            "telephone_number": "813-631-9700",
            "fax_number": "813-631-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27553 CASHFORD CIR",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446974",
            "telephone_number": "813-631-9700",
            "fax_number": "813-631-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HOANG",
        "middle_name": "CAM",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 8145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830027500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y0774Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "830027596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 2016; 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.