Jack Lee Ryals Jr., PT
NPI 1194797969ActiveIndividual· Physical Therapist· Lakeland, FL
Physical Therapist (PT) with Watson Clinic LLP, practicing in Lakeland, Florida. Medicare paid $33,887 for services to 254 patients in 2024.
Overview
| NPI | 1194797969 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Feb 6, 2006 |
| Last updated in NPPES | Feb 17, 2025 |
| Certified by provider | Feb 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT18427 | FL |
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 Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 254 |
|---|---|
| Services billed | 1,761 across 10 procedure codes |
| Paid by Medicare | $33,887 |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Watson Clinic LLPLakeland, FL · 388 clinicians
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