Lakes Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LAKES PHYSICAL THERAPY, PC

Practice address

18564 Highway 18
Suite 302
Apple Valley, CA 92307-2340

Phone

(760) 946-0044

Fax

(760) 946-0040

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Paul Danneker, DPT

Title

Owner

Phone

(760) 946-0044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1679813166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18564 HIGHWAY 18",
            "address_2": "SUITE 302",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072340",
            "telephone_number": "760-946-0044",
            "fax_number": "760-946-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 HIGHWAY 18",
            "address_2": "SUITE 302",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072340",
            "telephone_number": "760-946-0044",
            "fax_number": "760-946-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "DANNEKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-946-0044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Labrada, ACSW
• Melinda D. Labuguen, MD
• Tiniya Brandy Lacy, NP
• Fatima Lagunas Torres
• Lavina Husenibhai Lakdawala, M.D.
• Carol Lam, P.A.-C.
• Daisie Cagan Lambert
• Karina Lampitt, MS
• Lydia Antoinette Lanfranco
• Tamara Raquel Langevain, RADT/ MHRT

• Physical Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.