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

Mr. Edwin Lu Ballada, DPT

Individual provider Physical Therapist · NPI 1891828927

Mr. Edwin Lu Ballada, DPT is a Physical Therapist in Private Practice in Eustis, Florida. Qualified in 2017, 9 years ago. Practices with Rose Wellness Clinic LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2007
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

411 W Woodward Ave
Eustis, FL 32726-4554
Phone: (352) 357-3565
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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 23177 (FL)

Record details

NPI number1891828927
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 9, 2020
Mailing address411 W Woodward Ave, Eustis, FL 32726-4554

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rose Wellness Clinic Llc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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