Active NPI
Leonardo L Lopez
- Physical Therapist
- Wildwood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4603
- Practice address
- 3990 E Sr 44 Ste 201
Wildwood, FL 34785-7482 - Phone
- (352) 330-1011
- Fax
- (352) 330-0208
- NPI assigned
- Oct 21, 2025
- Last updated
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4603 | FL | Primary |
Addresses
Primary practice location
3990 E Sr 44 Ste 201
Wildwood, FL 34785-7482
Mailing address
2922 SE 24TH Ave
Ocala, FL 34471-6196
Other practice location 1
12155 County Road 103 Ste 3
Oxford, FL 34484-2951
Phone (352) 679-0914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3990 E Sr
44 Suite 201
Wildwood, FL 34785-7482
Phone (352) 330-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4603 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass DPT, LLC | Physical Therapist | Current | Accepting new patients |
Locations
12155 County Road 103
Ste 3
Oxford, FL 34484
Phone (352) 679-0914
3990 E State Road 44
Ste 201
Wildwood, FL 34785
Phone (352) 205-5195
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1174490478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 SE 24TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 E SR 44 STE 201",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347857482",
"telephone_number": "352-330-1011",
"fax_number": "352-330-0208"
}
],
"practiceLocations": [
{
"address_1": "12155 County Road 103 Ste 3",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "FL",
"postal_code": "344842951",
"country_code": "US",
"telephone_number": "352-679-0914",
"fax_number": "352-330-0208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "LEONARDO",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT4603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.