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

Christopher Matthew Ninan, DPT

Individual provider Physical Therapist · NPI 1184139115

Christopher Matthew Ninan, DPT is a Physical Therapist in Private Practice in Lakeland, Florida. Qualified in 2021, 5 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2300 E County Road 540A
Lakeland, FL 33813-3825
Phone: (863) 607-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT37527 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence AL4398 (FL)

Record details

NPI number1184139115
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 13, 2017
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address505 Apache Ln, Seffner, FL 33584-4749

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lakeland