MR. JESRAEL T RODRIGUEZ SR.
NPI 1093412777
Physical Therapist - Geriatrics in Leesburg, FL

Q: What is Jesrael Rodriguez's NPI number?

The NPI number for Jesrael Rodriguez is 1093412777. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Jesrael Rodriguez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Jesrael Rodriguez was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2023

701 LAKE PORT BLVD, LEESBURG, FL 34748(352) 728-3366 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jesrael T Rodriguez Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESRAEL T RODRIGUEZ SR. (NPI 1093412777) is an individual geriatrics provider in Leesburg, Florida, licensed in Florida (PT10074) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1093412777

Entity TypeIndividualMale

Primary Taxonomy2251G0304X

Provider Legal NameMR. JESRAEL T RODRIGUEZ SR.

Location Address701 LAKE PORT BLVDLeesburg, FL 34748-7674

Mailing Address1069 Harmony LnClermont, FL 34711-9021 · (863) 899-0768

Phone(352) 728-3366

Sole ProprietorYes

Enumeration DateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1093412777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in FL · PT10074

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

Also ListedPhysical TherapistTaxonomy 225100000X

701 LAKE PORT BLVD, Leesburg, FL 34748

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CCRC - LAKE PORT SQUARE, LLC

Skilled Nursing Facility