MR. EDWIN LU BALLADA (DPT) – Physical Therapist, NPI 1891828927

MR. EDWIN LU BALLADA (DPT) is a healthcare provider. based in Eustis, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 23177 (FL). The NPI Number for MR. EDWIN LU BALLADA (DPT) is 1891828927

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. EDWIN LU BALLADA (DPT)
NPI
1891828927
Phone
(352) 357-3565
Address
411 W WOODWARD AVE
Enumeration Date
14 March 2007
Last Update Date
9 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527752180
Graduation Year
2017 (9 years ago)
PAC ID
8628369345
Group Practice PAC ID
6406167733
Professional Enrollment ID
I20160627001874
Address ID
FL321625605TH910XXRDXX417
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MR. EDWIN LU BALLADA (DPT)

  • 411 W WOODWARD AVE

    EUSTIS, FL 327264554

    Phone: (352) 357-3565

    Mailing address matches the actual address.

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: 2016-06-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160627001874IPhysical Therapist In Private PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,413129$0
97140Therapy procedure using manual technique, each 15 minutes833108$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care42090$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23855$0
97161Evaluation for physical therapy, typically 20 minutes10094$0
View full utilization report →

Insurance plans in this area (ZIP 32726)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406167733View full group profile

Reviews

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Frequently asked questions

Is MR. EDWIN LU BALLADA (DPT) listed with a National Provider Identifier?
Yes — MR. EDWIN LU BALLADA (DPT) has NPI 1891828927 on file in the registry.
Is MR. EDWIN LU BALLADA (DPT) still an active registrant?
MR. EDWIN LU BALLADA (DPT) carries an active NPI according to the public dataset.
What kind of doctor is MR. EDWIN LU BALLADA (DPT)?
MR. EDWIN LU BALLADA (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. EDWIN LU BALLADA (DPT)?
Travel planning: use Eustis, Florida as the reference point for MR. EDWIN LU BALLADA (DPT), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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