OrganizationActive
Functional Performance
NPI 1124474135 · Physical Therapy Clinic/Center · Lakewood Ranch, FL
Provider details
- NPI number
- 1124474135
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Adam Cecil, Physical Therapist(571) 338-7002
- License
- L16000080985 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
12630 Rockrose Gln
Lakewood Ranch, FL 34202-2829
Phone: (301) 904-2343
Street-level locationGet directions
Mailing address
12630 Rockrose Gln
Lakewood Ranch, FL 34202-2829
Registry dates
- Enumerated
- 2016-05-09
- Last updated
- 2016-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.