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

Leading Edge Physical Therapy & Sports, Inc

Organization Physical Therapist · NPI 1003903261

Leading Edge Physical Therapy & Sports, Inc is a Physical Therapist in Lakeland, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 S Florida Ave Ste 5
Lakeland, FL 33801-5242
Phone: (863) 688-1800
Fax: (863) 688-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1003903261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Ryan — Owner/ Physical Therapist · (863) 688-1800
NPI enumeratedOctober 9, 2006
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address801 S Florida Ave Ste 5, Lakeland, FL 33801-5242

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