JEREMY MICHAEL LAKE


Address: 6601 Harris Pkwy, Fort Worth, TX 76132-6108
Phone: 8177389866

JEREMY MICHAEL LAKE (NPI# 1043849813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043849813
Entity Type Individual
Full Name JEREMY MICHAEL LAKE
Credential PT
Practice Address 6601 Harris Pkwy
Fort Worth
TX 76132-6108
Mailing Address 1713 Griffin Ln
Mansfield
TX 76063-8563
Practice Telephone 8177389866
Mailing Telephone 8178811545
Enumeration Date 2020-04-03
Last Update Date 2020-04-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 1143444 TX Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JEREMY LAKE

NPI Name Taxonomy Address Enumeration
1770802431 Jeremy William Lake Counselor 6484 N 2300 W, Cedar City, UT 84721-7102 2010-05-20
1891981189 Jeremy Brian Lake Dentist 4881 Sugar Maple Dr, 88mdg/sgdr, Wright Patterson Afb, OH 45433-5546 2007-09-20
1114909371 Jeremy M Lake Internal Medicine 232 Se 7th Ave, Hillsboro, OR 97123 2005-11-15

Office Location

Street Address 6601 HARRIS PKWY
City FORT WORTH
State TX
Zip Code 76132-6108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659404796 Angela St.clair Pinckard Pharmacist 6601 Harris Pkwy, Baylor Institute for Rehabilitation At Fort Worth, Fort Worth, TX 76132-6108 2007-03-14
1336768472 Kelly Dawson Physical Therapist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2020-04-09
1255979753 Amber Goff Physical Therapist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2019-12-16
1669028320 Miriam Elizabeth Gloria Merneigh Nurse Practitioner 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2019-08-16
1174088645 Deborah Harmon Dahn Physical Therapist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2019-02-08
1073085163 Kevin Andrew Gonzalez Physical Therapist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2018-12-30
1609376102 Elissa Michelle Weixel Speech-Language Pathologist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2018-02-20
1841708807 Victoria Nava Occupational Therapist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2018-01-11
1306388830 Melissa Geiss Physical Therapist 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2016-11-15
1336520725 Patrick David Sims Physical Medicine & Rehabilitation 6601 Harris Pkwy, Fort Worth, TX 76132-6108 2015-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528669843 Rubilene Spinks Pharmacist 6300 Oakmount Blvd, Fort Worth, TX 76132 2020-11-03
1942839113 Fort Physicians & Professionals Pllc Psychiatry & Neurology 7140 Oakmont Boulevard, Fort Worth, TX 76132 2020-04-08
1134781792 Daniel Max & Marcandrea LLC Optometrist 4619 S Hulen St, Suite C, Fort Worth, TX 76132 2019-07-03
1568029320 Ty Desilets Physical Therapist 5959 Bryant Irvin Rd Suite 100, Fort Worth, TX 76132 2019-05-28
1750844049 Fort Worth Surgical Center Lp Clinic/Center 6949 Bryant Irvin Road, Fort Worth, TX 76132 2019-04-12
1063971232 Symetria Health of Texas, LLC Clinic/Center 7299 Hawkins View Drive, Fort Worth, TX 76132 2019-03-18
1275015612 Falguni Udayan Patel Nurse Practitioner 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 2018-09-02
1881110161 Because De Cares Private Vehicle 7101 Bryant Irving Road #33104, Fort Worth, TX 76132 2017-08-17
1871045708 Cns - F.w., LLC Clinic/Center 6940 Harris Parkway, Fort Worth, TX 76132 2016-10-26
1790233294 Prime Diagnostic Imaging of Fort Worth, LLC Clinic/Center 6491 Southwest Blvd., Benbrook, TX 76132 2016-09-14
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437764008 Fort Worth Cancer Care Physical Therapist 4952 Stadium Dr, Fort Worth, TX 76133-1742 2020-09-10
1356953467 Ellen Wagner Physical Therapist 10640 N Riverside Dr Ste 200, Fort Worth, TX 76244-9506 2020-08-19
1710596200 Mary Goertz Physical Therapist 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 2020-07-30
1588273379 Sierra Martha Wilson Bautista Physical Therapist 1605 5th Ave Apt 11, Fort Worth, TX 76104-4348 2020-07-28
1932727534 Pcpt, Pllc Physical Therapist 3712 Cresthaven Ter, Fort Worth, TX 76107-1016 2020-07-09
1265059422 Savannah Erin Martinez Physical Therapist 2450 Oak Hill Cir Apt 814, Fort Worth, TX 76109-9506 2020-07-02
1548886054 Kathryn Nicole Bergsma Physical Therapist 5612 Pradera Rd, Fort Worth, TX 76126-2035 2020-06-20
1780203539 Samuel Adrignola Physical Therapist 2939 Crockett St Apt 245, Fort Worth, TX 76107-2953 2020-04-12
1407488364 Sharvari Patel Physical Therapist 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 2020-02-09
1003457300 Danieta Kay Grissman Physical Therapist 12460 Woods Edge Trl, Fort Worth, TX 76244-9408 2019-10-08
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City FORT WORTH
Zip Code 76132

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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