Leading Edge Physical Therapy & Sports, Inc.
NPI 1003903261ActiveOrganization· Physical Therapist· Lakeland, FL
Physical Therapist in Lakeland, Florida, registered in NPPES in October 2006. The authorized official on file is Mike T. Ryan, PHYSICAL THERAPIST, Owner/ Physical Therapist. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services.
Overview
| NPI | 1003903261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 9, 2006 |
| Last updated in NPPES | Oct 24, 2025 |
| Certified by provider | Oct 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (FL) |
|---|
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