Organization Active NPI

Lake Norman Communication Services, Inc.

Doing business as Pam Manser & Associates Speech Therapy

  • Physical Medicine & Rehabilitation Physician
  • Mooresville, NC
National Provider Identifier
1467908368
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LAKE NORMAN COMMUNICATION SERVICES, INC.
Doing business as
Pam Manser & Associates Speech Therapy
Practice address
484 Williamson Rd Ste 102
Mooresville, NC 28117-8191
Phone
(704) 293-6552
NPI assigned
Aug 30, 2016
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Pamela Susan ManserNPI 1124574140
Title
Owner
Phone
(704) 293-6552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4057 NC

Addresses

Primary practice location

484 Williamson Rd Ste 102
Mooresville, NC 28117-8191

Mailing address

484 Williamson Rd Ste 102
Mooresville, NC 28117-8191
Phone (704) 793-8475

Other practice location 1

1669 Norwood Rd
Statesville, NC 28677-8201
Phone (704) 746-9698

Other practice location 2

364 S Highway 16
Stanley, NC 28164-8702
Phone (704) 746-9698

Other practice location 3

249 Williamson Rd Ste 102
Mooresville, NC 28117-6863
Phone (704) 746-9698

Other practice location 4

111 Sago Ln
Mooresville, NC 28117-4369
Phone (704) 746-9698 ext. 2000

Other names 1

  • Pam Manser & Associates Speech Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210218000122 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082029426 Receives reassigned benefits from 6 practitioners
Practice locations: Mooresville, NC; Stanley, NC; Denver, NC

National Provider Directory

National Provider Directory

Locations

245 Le Phillip Ct NE
Ste B
Concord, NC 28025

7505 Highway 73
Ste B
Denver, NC 28037

249 Williamson Rd
Mooresville, NC 28117

484 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 293-6552

364 S NC 16 Business Hwy
Stanley, NC 28164

364 S NC 16 Business Hwy
Ste 100
Stanley, NC 28164
Phone (720) 369-5266

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1467908368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-793-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178191",
            "telephone_number": "704-293-6552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1669 Norwood Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286778201",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "fax_number": "704-662-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "364 S Highway 16",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281648702",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "249 Williamson Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281176863",
            "country_code": "US",
            "telephone_number": "704-746-9698",
            "fax_number": "704-662-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Sago Ln",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281174369",
            "country_code": "US",
            "telephone_number": "704-746-9698 x2000",
            "fax_number": "704-662-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE NORMAN COMMUNICATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "MANSER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-293-6552"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pam Manser & Associates Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pam Manser & Associates Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.