Active NPI
Kristen Kleponis, PT, DPT, PRPC
- Physical Therapist
- Lakeland, FL
National Provider Identifier
1972105328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36484
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36484 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies Lakeland, LLC | Physical Therapist | Current | Accepting new patients |
| Optimal Performance & Physical Therapies Winter Haven, LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Winter Haven, FL
- NPI 1336709369
-
- Physical Therapist
- Lakeland, FL
- NPI 1508378290
-
- Physical Therapist
- Lakeland, FL
- NPI 1730005695
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.