Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Orlando Sports Medicine Group, Inc

Organization Physical Therapist · NPI 1093061673

Orlando Sports Medicine Group, Inc provides Physical Therapist services in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12780 Waterford Lakes Pkwy Ste 115
Orlando, FL 32828-4500 Not confirmed with CMS for 14 years — call before visiting
Phone: (407) 207-7188
Fax: (407) 207-7103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT27565 (FL)

Record details

NPI number1093061673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimary Foss — Office Manager · (407) 332-7816
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 1, 2012
Mailing address12780 Waterford Lakes Pkwy, Ste 115, Orlando, FL 32828-4500

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