NPIMap

Organization Active NPI

Ledesma Sports Medicine LLC

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1306157896
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003700 Issued in GA
Legal business name
LEDESMA SPORTS MEDICINE LLC
Practice address
7010 Hodgson Memorial Dr
Savannah, GA 31406-2529
Phone
(912) 401-0443
Fax
(912) 401-0445
NPI assigned
Jun 29, 2010
Last updated
May 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Ernest Richard Ledesma Jr., PTNPI 1063589042
Title
Owner
Phone
(912) 401-0443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003700 GA Primary

Addresses

Primary practice location

7010 Hodgson Memorial Dr
Savannah, GA 31406-2529

Mailing address

7010 Hodgson Memorial Dr Ste a
Savannah, GA 31406-2529
Phone (912) 656-2650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000455 GA Part B Supplier - Clinic/Group Practice 1456543321 Receives reassigned benefits from 12 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

340 Eisenhower Dr
Ste 1400A
Savannah, GA 31406
Phone (912) 353-1001

7010 Hodgson Memorial Dr
Savannah, GA 31406
Phone (912) 401-0443

7010 Hodgson Memorial Dr
Ste A
Savannah, GA 31406

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1306157896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 HODGSON MEMORIAL DR STE A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062529",
            "telephone_number": "912-656-2650",
            "fax_number": "912-401-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 HODGSON MEMORIAL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062529",
            "telephone_number": "912-401-0443",
            "fax_number": "912-401-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDESMA SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-401-0443",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.