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

Jack Lee Ryals Jr., PT

Individual provider Physical Therapist · NPI 1194797969

Jack Lee Ryals Jr., PT is a Physical Therapist in Private Practice in Lakeland, Florida. Qualified in 1999, 27 years ago. Practices with Watson Clinic LLP, a 362-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Licensed in
FL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1430 Lakeland Hills Blvd
Lakeland, FL 33805
Phone: (863) 680-7700
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Avenue I Ne, Winter Haven, FL 33881-4143 — (863) 680-7428

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT18427 (FL)

Record details

NPI number1194797969
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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