Individual provider Active NPI

Justin Rex Ledbetter, PT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1184037137
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35210 Issued in FL
Practice address
3416 S Dale Mabry Hwy
Tampa, FL 33629-8639
Phone
(813) 837-3060
Fax
(813) 837-3080
NPI assigned
Jun 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT35210 FL Primary

Addresses

Primary practice location

3416 S Dale Mabry Hwy
Tampa, FL 33629-8639

Mailing address

3416 S Dale Mabry Hwy
Tampa, FL 33629-8639
Phone (813) 837-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625004116 FL Practitioner - Physical Therapist in Private Practice 7618195678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35210FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Jun 9, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC Physical Therapist Current Accepting new patients
Cora Health Services Inc PastSince Sep 14, 2025 Accepting new patients

Locations

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

5325 Greenwood Ave
Ste 201
West Palm Beach, FL 33407
Phone (561) 422-9603

5325 Greenwood Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 830-6093

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1184037137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298639",
            "telephone_number": "813-837-3060",
            "fax_number": "813-837-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298639",
            "telephone_number": "813-837-3060",
            "fax_number": "813-837-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "JUSTIN",
        "middle_name": "REX",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-07",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.