Lake Norman Communication Services, Inc.
Organization Active NPI Physical Medicine & Rehabilitation Physician · Mooresville, NC
NPI 1467908368 · NPPES record last updated Jul 29, 2022
Key facts
- NPI
- 1467908368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- LAKE NORMAN COMMUNICATION SERVICES, INC.
- Practice address
- 484 Williamson Rd Ste 102
Mooresville, NC 28117-8191 - Phone
- (704) 293-6552
- NPI assigned
- Aug 30, 2016
- Organization subpart
- No
Authorized official
- Name
- Pamela Susan Manser
- Title
- Owner
- Phone
- (704) 293-6552
Practitioners 34
-
Kristen Phillips Bragg, M.S., CCC-SLP
-
Lauren Aprile Forbis, M.S.CCC-SLP
-
Aleksandra Agnieszka Jasienska, M.S., CCC-SLP
-
Allison Link, MA, CCC-SLP
-
Linnette A Richards, OTAL
-
Doreen Joy Daneault, OTR/L
-
Nicole Lynne Heasley, OTR/L
-
Pamela Susan Manser, M.A.-CCC/SLP
-
Holly Routh Smith, MA, CCC-SLP
-
Jessye Zahn, OTR/L
-
Mackenzie Ann Zinkil, MS, OTR/L
-
Brooke Murdock Adams, MSP, CCC-SLP
-
Chelsea Jeannette Burns, MA, CCC-SLP
-
Kathryn Elizabeth Foley, OTR/L
-
Taryn Ann Greiner, CCC-SLP
-
Michelle Potter Hill, MS CCC-SLP
-
Laura Groner Hobbs, MA CCC-SLP
-
Elise Helen Immordino-Sanderson, MS, CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
3102 S Church St
Burlington, NC 27215
Phone (336) 350-9263
245 Le Phillip Ct NE
Ste B
Concord, NC 28025
7505 Highway 73
Ste B
Denver, NC 28037
201 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (984) 381-5778
249 Williamson Rd
Mooresville, NC 28117
484 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 293-6552
364 S NC 16 Business Hwy
Ste 100
Stanley, NC 28164
Phone (720) 369-5266
364 S NC 16 Business Hwy
Stanley, NC 28164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes | ||
| Speech-Language Pathologist |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13882320 | Other | NC | CAQH |
Other names
- Pam Manser & Associates Speech Therapy
Other providers in Mooresville, NC
- Lake Norman Anesthesia Associates
- Lake Norman Bariatrics
- Lake Norman Child and Adolescent Psychiatry
- Lake Norman Chiropractic Center
- Lake Norman Chiropractic Center, PA
- Lake Norman Compounding Pharmacy, Inc.
- Lake Norman Cosmetic and Restorative Dentistry
- Lake Norman Counseling & Pastoral Care Center
- Lake Norman Dermatology, PA
- Lake Norman Dialysis Center of Wake Forest University
All providers in Mooresville, NC · Physical Medicine & Rehabilitation Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.