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

Orlando Sports Medicine Group, Inc

Organization Physical Therapist · NPI 1093061673

Orlando Sports Medicine Group, Inc is a Physical Therapist in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
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

12780 Waterford Lakes Pkwy Ste 115
Orlando, FL 32828-4500
Phone: (407) 207-7188
Fax: (407) 207-7103
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT27565 (FL)

Record details

NPI number1093061673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimary Foss — Office Manager · (407) 332-7816
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 1, 2012
Mailing address12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500

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