OrganizationActive
Leading Edge Rehabilitation Inc.
NPI 1114649605 · Physical Therapist · Odessa, FL
Provider details
- NPI number
- 1114649605
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Richard Mauro, President(813) 597-8985
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3707 Villamore Ln
Odessa, FL 33556-4196
Phone: (813) 597-8985
Street-level locationGet directions
Mailing address
3707 Villamore Ln
Odessa, FL 33556-4196
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2022-09-13
- Certified
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.