Organization Active NPI

Lakeside Therapy LLC

  • Occupational Therapist
  • Holland, MI
National Provider Identifier
1750295291
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LAKESIDE THERAPY LLC
Practice address
4726 Lake Ridge Dr
Holland, MI 49423-8955
Phone
(616) 283-2471
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Cara Weber
Title
Weber
Phone
(616) 283-2471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

4726 Lake Ridge Dr
Holland, MI 49423-8955

Mailing address

4726 Lake Ridge Dr
Holland, MI 49423-8955
Phone (616) 283-2471

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1750295291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 LAKE RIDGE DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494238955",
            "telephone_number": "616-283-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 LAKE RIDGE DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494238955",
            "telephone_number": "616-283-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CARA",
        "authorized_official_title_or_position": "WEBER",
        "authorized_official_telephone_number": "616-283-2471"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.