Organization Active NPI

Lakas Rehabilitation Services

  • Physical Therapy Clinic/Center
  • Turnersville, NJ
National Provider Identifier
1629807946
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LAKAS REHABILITATION SERVICES
Practice address
64 Trent Rd
Turnersville, NJ 08012-1821
Phone
(856) 246-0436
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Kris BoadoNPI 1871885863
Title
President
Phone
(856) 246-0436

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

64 Trent Rd
Turnersville, NJ 08012-1821

Mailing address

64 Trent Rd
Turnersville, NJ 08012-1821
Phone (856) 246-0436

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241125002844 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294260485 Receives reassigned benefits from 3 practitioners
Practice locations: Turnersville, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1629807946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 TRENT RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121821",
            "telephone_number": "856-246-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 TRENT RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121821",
            "telephone_number": "856-246-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKAS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "BOADO",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-246-0436"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.