Lake Region Functional Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LAKE REGION FUNCTIONAL THERAPY LLC

Practice address

2575 Route 6 Ste 2
Hawley, PA 18428-7066

Phone

(570) 228-2248

Fax

(570) 227-1914

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Krystal Angelica Lloyd, M.S. CCC-SLPNPI 1760611131

Title

Owner/Speech Pathologist

Phone

(570) 228-2248

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystal A Lloyd, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hawley, PA
  • NPI 1760611131
  Authorized official Same address or phone

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1306568886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 ROUTE 6 STE 2",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287066",
            "telephone_number": "570-228-2248",
            "fax_number": "570-227-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 ROUTE 6 STE 2",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184287066",
            "telephone_number": "570-228-2248",
            "fax_number": "570-227-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION FUNCTIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "ANGELICA",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "570-228-2248",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Karoscik, RPH
• Kelly S. Magee, LPC, LLC
• Keystone Family Practice of Hawley
• Jennifer Kiesendahl
• Lackawaxen Township Volunteer Ambulance Service (Lackawaxen EMS)
• Lake Region Urgent Care, PC
• Lakeside Discount Pharmacy Inc.
• Lakota Healthcare (The Singer Group, LLC)
• Samantha Lecce
• Shira Lynne Lipperini Ramirez, PT, DPT

• Speech-Language Pathologist in Hawley, PA
• Providers in Hawley, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.