Individual provider Active NPI

Amadeo Esequiel Ledesma, PT

  • Physical Therapist
  • Amarillo, TX
National Provider Identifier
1750937389
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1321266 Issued in TX
Practice address
6017 Hillside Rd Ste 1100
Amarillo, TX 79109-7213
Phone
(806) 680-5888
NPI assigned
Aug 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 1321266 TX Primary

Addresses

Primary practice location

6017 Hillside Rd Ste 1100
Amarillo, TX 79109-7213

Mailing address

2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008

Other identifiers 2

IdentifierTypeStateIssuer
403493601MedicaidTX
8LN865OtherTXBCBS

Other names 1

  • Aj Ledesma Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926002073 TX Practitioner - Physical Therapist in Private Practice 9830429364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Today of Lubbock LPGroup PAC ID 7315836053, 47 clinicians

Practice addresses (Care Compare)

4138 19TH St
Lubbock, TX 79407-2403
Phone (806) 780-2329

6202 82ND St
Lubbock, TX 79424-3691
Phone (806) 687-8008

Merit-based Incentive Payment System (MIPS)

Final score
72.17 of 100Reported as group
Quality
45.78
Promoting interoperability
92
Improvement activities
40
Cost
68.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Today of Lubbock, LP Physical Therapist CurrentSince Aug 9, 2019 Accepting new patients
Physical Therapy Today of Lubbock LP Physical Therapist CurrentSince Aug 9, 2019 Accepting new patients

Locations

6017 Hillside Rd
Ste 1100
Amarillo, TX 79109
Phone (806) 680-5888

2431 S Loop 289
Lubbock, TX 79423
Phone (806) 771-7661

4138 19th St
Lubbock, TX 79407
Phone (806) 780-2329

6202 82nd St
Lubbock, TX 79424
Phone (806) 687-8008

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1750937389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 S LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231519",
            "telephone_number": "806-771-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6017 HILLSIDE RD STE 1100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097213",
            "telephone_number": "806-680-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "AMADEO",
        "middle_name": "ESEQUIEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1321266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403493601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8LN865",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJ",
            "last_name": "LEDESMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.