Lakeport Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17230 Issued in CA

Legal business name

LAKEPORT PHYSICAL THERAPY, INC.

Practice address

381 Lakeport Blvd
Lakeport, CA 95453-5412

Phone

(707) 263-5210

Fax

(707) 263-8045

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence H Hurst, PT

Title

Manager

Phone

(707) 263-5210

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.

• Robert Ryan Hamblin Taylor Sr., DPT

  • Physical Therapist
  • Cape Coral, FL
  • NPI 1245417021
  NPD

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1386988970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 LAKEPORT BLVD",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535412",
            "telephone_number": "707-263-5210",
            "fax_number": "707-263-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 LAKEPORT BLVD",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535412",
            "telephone_number": "707-263-5210",
            "fax_number": "707-263-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEPORT PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-263-5210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Family Resource Center
• Lakeport County Fire Protection District
• Lakeport Emergency Medical Corporation
• Lakeport Medical Group
• Lakeport Neurology Inc
• Lakeport Post Acute, LLC
• Lakeport Skilled Nursing Center, Inc.
• Lakeport Unified School District
• Eva Lambert, RN/ CASE MANAGER
• Stephanie Kristine Lane

• Physical Therapist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.