Samana B. Lake, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070005977 Issued in IL

Practice address

961 Panorama TRL S
Rochester, NY 14625-2311

Phone

(585) 482-5060

Fax

(585) 512-8372

NPI assigned

Mar 15, 2007

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

Other names 1

• Mrs. Sheri B. Jasper Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness 360 Physical Therapy and Massage PLLCGroup PAC ID 5294142956, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melissa Clark OT PLLC

  • Occupational Therapist
  • Rochester, NY
  • NPI 1265132567

  Physical Therapist

  NPD (past)
• Balancing Point Center for Wellness

  • Chiropractor
  • Chicago, IL
  • NPI 1851506653
  NPD (past)
• Dr Silvia Panitch LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1215021027
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1851425524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BIRCH HILLS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146221303",
            "telephone_number": "312-256-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 PANORAMA TRL S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252311",
            "telephone_number": "585-482-5060",
            "fax_number": "585-512-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "SAMANA",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "JASPER",
            "middle_name": "B.",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Laibach, CRNA
• Thomas Laiosa
• Judith Kay Laird, RN
• Tasha Johanna Lais, MS, CCC-SLP/L
• Maryann Lake, LPN
• Lakeshore Endodontics PC
• Lakeshore Physical Therapy
• Lakeshore Surgical Practice, PC
• Rezarta Lako, PHARMD
• Noam Laks

• Physical Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.