Lakeside Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LAKESIDE PHYSICAL THERAPY LLC

Practice address

115 US Highway 46 Ste B11
Mountain Lakes, NJ 07046-1656

Phone

(973) 329-0099

Fax

(973) 329-0101

NPI assigned

Oct 27, 2020

Last updated

Nov 15, 2020By 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

Christy Danielle Montana, PT, DPT

Title

Physical Therapist/President

Phone

(973) 329-0099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605398400000",
    "number": "1386244739",
    "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": "973-699-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 US HIGHWAY 46 STE B11",
            "city": "MOUNTAIN LAKES",
            "state": "NJ",
            "postal_code": "070461656",
            "telephone_number": "973-329-0099",
            "fax_number": "973-329-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Main St Ste 114",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NJ",
            "postal_code": "079302569",
            "country_code": "US",
            "telephone_number": "973-329-0099",
            "fax_number": "973-329-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKESIDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "MONTANA",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "973-329-0099",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deniz Kalyon, PSYD
• Kimberlee June Karpack, LPC
• Randi Kaufmann
• Theresa K Kelso, PSY.D
• Lakeland Cardiology Center, PA
• Peggy Elizabeth Lambe, MS, OTR/L
• Geraldine Lane, LPC
• Christopher Langford, LPC
• Marla E Leen, DPM
• Frederick T Legband, D.M.D.

• Physical Therapist in Mountain Lakes, NJ
• Providers in Mountain Lakes, 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 Nov 15, 2020; 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.