Lakeside Manual Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LAKESIDE MANUAL PHYSICAL THERAPY INC.

Practice address

9445 Zachary Taylor Hwy
Unionville, VA 22567-2126

Phone

(540) 854-0367

Fax

(540) 854-0369

NPI assigned

Aug 20, 2006

Last updated

Mar 13, 2008By 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

Mrs. Anne Chistine Williams, M.P.T.NPI 1235290727

Title

President, Therapist

Phone

(540) 854-0367

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 4

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.

• Sarah Kristin Smith, D.P.T

  • Physical Therapist
  • Unionville, VA
  • NPI 1992019871
  Medicare reassignment Care Compare group
• Anne C Williams, MPT

  • Specialist
  • Unionville, VA
  • NPI 1235290727
  Medicare reassignment Authorized official
• Laura Covill, PT

  • Physical Therapist
  • Des Moines, IA
  • NPI 1245344712

  VA

  Medicare reassignment Care Compare group
• Ella Mantiply, DPT

  • Physical Therapist
  • Surprise, AZ
  • NPI 1619327343

  VA

  Medicare reassignment

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1659486603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 ZACHARY TAYLOR HWY",
            "city": "UNIONVILLE",
            "state": "VA",
            "postal_code": "225672126",
            "telephone_number": "540-854-0367",
            "fax_number": "540-854-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 ZACHARY TAYLOR HWY",
            "city": "UNIONVILLE",
            "state": "VA",
            "postal_code": "225672126",
            "telephone_number": "540-854-0367",
            "fax_number": "540-854-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MANUAL PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "CHISTINE",
        "authorized_official_title_or_position": "PRESIDENT, THERAPIST",
        "authorized_official_telephone_number": "540-854-0367",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC1580",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "195167",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arika Adams, LCSW
• Fireridge Counseling
• Resa Gibbs, PT
• Margaret Herschell Irby, OT
• Kimberly Anne Muilenburg, P.T.
• Prestige Home Health LLC
• Sarah Kristin Smith, D.P.T
• Linda Tilton, SLP MS CCC
• Anne C Williams, MPT

• Physical Therapist in Unionville, VA
• Providers in Unionville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.