Individual provider Active NPI

Kristen Kleponis, PT, DPT, PRPC

  • Physical Therapist
  • Lakeland, FL
National Provider Identifier
1972105328
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36484 Issued in FL
Practice address
105 S Florida Ave Ste 3
Lakeland, FL 33801-4619
Phone
(863) 225-2317
Fax
(877) 596-1938
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 PT36484 FL Primary

Addresses

Primary practice location

105 S Florida Ave Ste 3
Lakeland, FL 33801-4619

Mailing address

105 S Florida Ave Ste 3
Lakeland, FL 33801-4619
Phone (863) 225-2317

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201207002491 FL Practitioner - Physical Therapist in Private Practice 0244642775 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36484FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Lakeland, LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Optimal Performance & Physical Therapies Winter Haven, LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Wonderfully Made Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

4525 S Florida Ave
Ste 25
Lakeland, FL 33813
Phone (863) 812-4065

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

5535 Cypress Gardens Blvd
Ste 260
Winter Haven, FL 33884
Phone (863) 877-0605

Organizations & group practices 3

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1972105328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S FLORIDA AVE STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014619",
            "telephone_number": "863-225-2317",
            "fax_number": "877-596-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S FLORIDA AVE STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014619",
            "telephone_number": "863-225-2317",
            "fax_number": "877-596-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEPONIS",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PRPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.