Elizabeth Lake, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4146 Issued in MD

Practice address

101 E State St
Kennett Square, PA 19348-3109

Phone

(410) 326-8156

NPI assigned

Jul 28, 2014

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1659789162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 OSPREY LN",
            "address_2": "P.O. BOX 209",
            "city": "DOWELL",
            "state": "MD",
            "postal_code": "206293016",
            "telephone_number": "410-610-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "410-326-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin E Kutvoelgyi, DPM
• L. Peter Soraruf
• Judith Anne Labashosky, R.PH.
• Jan Marie Lady-Auld, LPC
• Nicole Marie Lairmore
• John G Lapelusa, RPH
• Daisy Lara, CRNP
• Nadine Lascoskie Lascoskie, PTA
• Deanna Laughman, ATC
• Emily Anne Lavalle

• Physical Therapy Assistant in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.