DR. NICOLE KAREN LESCANO (DPT) – Physical Therapist, NPI 1710653126

DR. NICOLE KAREN LESCANO (DPT) is a healthcare provider. based in Wilton manors, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT37647 (FL). The NPI Number for DR. NICOLE KAREN LESCANO (DPT) is 1710653126

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE KAREN LESCANO (DPT)
NPI
1710653126
Phone
Not provided
Address
2101 NE 17TH AVE
Enumeration Date
17 August 2021
Last Update Date
24 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549025150
Graduation Year
2021 (5 years ago)
PAC ID
0042746265
Group Practice PAC ID
6901332113
Professional Enrollment ID
I20241211003883
Address ID
FL333040000FO721XXHWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,676 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for DR. NICOLE KAREN LESCANO (DPT)

  • 2101 NE 17TH AVE

    WILTON MANORS, FL 333052407

    Phone:

    Type: Mailing

  • 7160 N UNIVERSITY DR

    TAMARAC, FL 333212916

    Phone: (954) 721-3556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241211003883IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901332113View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I cross-check DR. NICOLE KAREN LESCANO (DPT) using NPI 1710653126?
NPI 1710653126 belongs to DR. NICOLE KAREN LESCANO (DPT); compare other details if you need extra assurance.
Is there an active status for DR. NICOLE KAREN LESCANO (DPT)?
For scheduling context, DR. NICOLE KAREN LESCANO (DPT) is shown as active in the registry.
What kind of doctor is DR. NICOLE KAREN LESCANO (DPT)?
DR. NICOLE KAREN LESCANO (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. NICOLE KAREN LESCANO (DPT)?
Travel planning: use Wilton Manors, Florida as the reference point for DR. NICOLE KAREN LESCANO (DPT), then confirm.
When was this NPI issued?
Enumeration for DR. NICOLE KAREN LESCANO (DPT) is noted as August 17, 2021 where the registry provides it.

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