OrganizationActive
Sport and Spine Physical Therapy and Wellness Center, LLC
NPI 1629350137 · Physical Therapy Clinic/Center · Lutz, FL
Provider details
- NPI number
- 1629350137
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Whelton, Owner(813) 948-1020
- License
- PT22249 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
17824 N US Highway 41
Lutz, FL 33549
Phone: (813) 948-1020
Fax: (813) 948-1022
Approximate (ZIP-level) locationGet directions
Mailing address
17824 N US Highway 41
Lutz, FL 33549-4502
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2018-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.