SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC – Physical Therapy Clinic/Center, NPI 1629350137

SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC is a healthcare provider. based in Lutz, Florida. specializing in Physical Therapy Clinic/Center. The organization holds a License No. PT22249 (FL). The NPI Number for SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC is 1629350137

Main info

Organization
Name
SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC
NPI
1629350137
Phone
(813) 948-1020
Address
17824 N US HIGHWAY 41
Authorized Official
RYAN P WHELTON OWNER MSPT, DPT
Enumeration Date
12 September 2011
Last Update Date
12 July 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC

  • 17824 N US HIGHWAY 41

    LUTZ, FL 335494502

    Phone: (813) 948-1020

    Fax: (813) 948-1022

    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)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33549)

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Frequently asked questions

What is SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC's NPI number?
SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC's NPI is 1629350137 — the number used across U.S. healthcare to identify this provider.
Is SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC shown as active in public data?
Registry records indicate SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC maintains an active NPI.
What kind of doctor is SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC?
SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC is associated with Physical Therapy Clinic/Center in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC?
Directory geography for SPORT AND SPINE PHYSICAL THERAPY AND WELLNESS CENTER, LLC centers on Lutz, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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