JACK LEE JR. RYALS (PT) – Physical Therapist, NPI 1194797969
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for JACK LEE JR. RYALS (PT)
100 Avenue I NE
Winter Haven, FL 338814143
Phone: (863) 680-7428
Type: Location
1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338053019
Phone: (863) 680-7000
Fax: (866) 264-8519
Type: Mailing
1430, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 33805
Phone: (863) 680-7700
Fax: (866) 264-8519
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050511000299 | I | Physical Therapist In Private Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 965 | 196 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 625 | 148 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 91 | 34 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 86 | 84 | $0 |
| 97530 | Therapy procedure using functional activities | 28 | 13 | $0 |
Insurance plans in this area (ZIP 33881)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | FL | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 1533 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Pulmonary Disease, Internal Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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