Lone Lake Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 10185 Issued in WA

Legal business name

LONE LAKE PHYSICAL THERAPY, LLC

Practice address

2848 Andreason Rd
Langley, WA 98260-8507

Phone

(360) 321-4434

NPI assigned

Dec 5, 2010

Organization subpart

No

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

Authorized official

Name

Shannon Em Arndt, MSPT

Title

Owner

Phone

(360) 321-2652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291507200000",
    "number": "1801199336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982600260",
            "telephone_number": "360-321-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 ANDREASON RD",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608507",
            "telephone_number": "360-321-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE LAKE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-05",
        "last_updated": "2010-12-05",
        "status": "A",
        "authorized_official_last_name": "ARNDT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "EM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-321-2652",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 10185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Flynn Larson, PHYSICAL THERAPIST A
• Janice Laursen, LMP
• Colleen L Lawson, M.A.
• Eric Levine, LMHC
• Emily Licastro, LMP
• Alice Lubic, LMT
• Lund Wellness Collective, LLC
• Mary Jane Lungren, DDS
• Kathryn Suzanne Macgregor, OTR/L
• Sarah Bradfield Manchester, MA, LMHC, MHP

• All providers in Langley, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2010; 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.