Lakeside Physical Therapy and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LAKESIDE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

38 Righter Ave
Denville, NJ 07834-2114

Phone

(973) 229-9116

Fax

(973) 329-0101

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Christy D Montana, PT, DPTNPI 1285852517

Title

Physical Therapist

Phone

(973) 229-9116

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christy Danielle Montana, PT, DPT

  • Physical Therapist
  • Denville, NJ
  • NPI 1285852517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1205694148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SUMMIT DR",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342312",
            "telephone_number": "973-229-9116",
            "fax_number": "973-329-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 RIGHTER AVE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342114",
            "telephone_number": "973-229-9116",
            "fax_number": "973-329-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MONTANA",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "973-229-9116",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lakeland Urology L L C
• Phyllis Rita Lakin, PH.D,
• Richard Lally Joseph Lally, L.C.S.W.
• Paul C Lam, M.D.
• Adolfo C Lamanna, M.D.
• Lindsay Lamb, L.C.S.W.

• Physical Therapist in Denville, NJ
• Providers in Denville, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.