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

Mr. Jesrael T Rodriguez Sr.

Individual provider Geriatric Physical Therapist · NPI 1093412777

Mr. Jesrael T Rodriguez Sr. is a Geriatric Physical Therapist in Leesburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

701 Lake Port Blvd
Leesburg, FL 34748-7674
Phone: (352) 728-3366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT10074 (FL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1093412777
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023