Organization Active NPI

Esencia Wellness & Therapy LLC.

  • Physical Therapist
  • Davie, FL
National Provider Identifier
1952845919
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ESENCIA WELLNESS & THERAPY LLC.
Practice address
4801 S University Dr Ste 101
Davie, FL 33328-3835
Phone
(954) 316-1476
Fax
(954) 316-1130
NPI assigned
Dec 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Lourdes GodomarNPI 1699216598
Title
Owner
Phone
(305) 318-4439

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4801 S University Dr Ste 101
Davie, FL 33328-3835

Mailing address

4801 S University Dr Ste 101
Davie, FL 33328-3835
Phone (954) 316-1476

Other practice location 1

7310 W McNab Rd Ste 108-110
Tamarac, FL 33321-5332
Phone (954) 532-3228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170805000249 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365713518 Receives reassigned benefits from 3 practitioners
Practice locations: Tamarac, FL; Davie, FL

National Provider Directory

National Provider Directory

Locations

4431 SW 64th Ave
Ste 105
Davie, FL 33314
Phone (954) 316-1476

4431 SW 64th Ave
Ste 104106
Davie, FL 33314

7310 W McNab Rd
Ste 108110
Tamarac, FL 33321
Phone (954) 532-3228

7310 W McNab Rd
Ste 108
Tamarac, FL 33321

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1952845919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-316-1476",
            "fax_number": "954-316-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-316-1476",
            "fax_number": "954-316-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 W McNab Rd Ste 108-110",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333215332",
            "country_code": "US",
            "telephone_number": "954-532-3228",
            "fax_number": "954-830-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESENCIA WELLNESS & THERAPY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-10",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "GODOMAR",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-318-4439"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.