IndividualActive
Leonardo Lopez
NPI 1174490478 · Physical Therapist · Wildwood, FL
Provider details
- NPI number
- 1174490478
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT4603 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3990 E Sr 44 Ste 201
Wildwood, FL 34785-7482
Phone: (352) 330-1011
Fax: (352) 330-0208
Approximate (ZIP-level) locationGet directions
Mailing address
2922 Se 24th Ave
Ocala, FL 34471-6196
Additional practice locations (1)
- 12155 County Road 103 Ste 3Oxford, FL 34484-2951Phone: (352) 679-0914Fax: (352) 330-0208
Registry dates
- Enumerated
- 2025-10-21
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.