IndividualActive
Jason Peralta, PT
NPI 1962065284 · Physical Therapist · Lakeland, FL
Provider details
- NPI number
- 1962065284
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT25169 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
771 Carpenters Way
Lakeland, FL 33809-3922
Phone: (727) 803-1102
Street-level locationGet directions
Mailing address
260 1st Ave S Ste 200
Saint Petersburg, FL 33701-4364
Registry dates
- Enumerated
- 2019-04-22
- Last updated
- 2019-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.