Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edgar Allan Liwanag Benusa, PT, DPT

Individual provider Physical Therapist · NPI 1780552141

Edgar Allan Liwanag Benusa, PT, DPT is a Physical Therapist in Private Practice in Sunrise, Florida. Qualified in 2013, 13 years ago. Practices with Agave Therapy LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1580 Sawgrass Corporate Pkwy Ste 320
Sunrise, FL 33323-2859
Phone: (954) 739-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 610 E Holland Ave, Alpine, TX 79830-4830 — (432) 837-5907

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1353630 (TX)

Record details

NPI number1780552141
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedOctober 27, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Agave Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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