Individual provider Active NPI

Kevin Wayne Vanwart, PT

  • Orthopedic Physical Therapist
  • Leesburg, FL
National Provider Identifier
1346372836
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT4709 Issued in FL
Practice address
600 W North Blvd
Suite D
Leesburg, FL 34748
Phone
(352) 787-9300
NPI assigned
Mar 10, 2007
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT4709 FL Primary

Addresses

Primary practice location

600 W North Blvd
Suite D
Leesburg, FL 34748

Mailing address

4600 SE 30TH CT
Ocala, FL 34480-7275
Phone (352) 629-3586

Other practice location 1

340 Heald Way Ste 100
The Villages, FL 32163-6000
Phone (352) 259-1919

Other practice location 2

600 W North Blvd
Suite D
Leesburg, FL 34748-5063
Phone (352) 787-9300

Other identifiers 1

IdentifierTypeStateIssuer
PT4709OtherFLSTATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141105002319 FL Practitioner - Physical Therapist in Private Practice 1850513912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Institute, PAGroup PAC ID 2860385242, 113 clinicians

Practice addresses (Care Compare)

1710 SE 16TH Ave
Ocala, FL 34471-4656
Phone (352) 620-1900

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4709FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Podiatry PA CurrentSince Sep 29, 2014 Accepting new patients
Tri County Podiatry P a CurrentSince Sep 29, 2014 Accepting new patients
The Orthopaedic Institute PA CurrentSince Nov 1, 2019 Accepting new patients
The Orthopaedic Institute, PA CurrentSince Nov 1, 2019 Accepting new patients

Locations

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

1710 SE 16th Ave
Ocala, FL 34471
Phone (352) 620-1900

1585 Santa Barbara Blvd
#B
The Villages, FL 32159
Phone (352) 259-1919

340 Heald Way
Ste 100
The Villages, FL 32163
Phone (352) 259-1919

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFFCAA

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, 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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1346372836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SE 30TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344807275",
            "telephone_number": "352-629-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W NORTH BLVD",
            "address_2": "SUITE D",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-787-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Heald Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321636000",
            "country_code": "US",
            "telephone_number": "352-259-1919",
            "fax_number": "352-259-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W North Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485063",
            "country_code": "US",
            "telephone_number": "352-787-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWART",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-10",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT4709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "PT4709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.

Verify at the official NPI Registry.