LAKE AREA PHYSICAL THERAPY INC (NPI# 1376682518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376682518 |
| Entity Type | Organization |
| Organization Name | LAKE AREA PHYSICAL THERAPY INC |
| Other Organization Name | LAKE AREA PHYSICAL THERAPY & AQUATICS INC. |
| Practice Address |
25727 Ne State Rd 26 Melrose FL 32666-1099 |
| Mailing Address |
Po Box 1099 Melrose FL 32666-1099 |
| Practice Telephone | 3524753113 |
| Practice Fax Number | 3524755796 |
| Mailing Telephone | 3524753113 |
| Mailing Fax Number | 3524755796 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MS. LAURA HODGES (OWNER) |
| Authorized Official Telephone | 3524753113 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED PROVIDER # | 103999 | 01 |
| FL | AETNA PROV# | 5941306 | 01 |
| FL | BLUE CROSS PROV# | R8J | 01 |
| FL | 880554700 | 05 | |
| FL | MEDICARE | 106944 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Area Physical Therapy & Aquatics | Doing Business As Name - Organization |
| Lake Area Physical Therapy & Aquatics Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831446087 | Lake Area Physical Therapy Inc | Physical Therapist | 6821 Nw 11th Pl, Gainesville, FL 32605-4216 | 2012-08-07 |
| 1396010450 | Lake Area Physical Therapy Inc | Physical Therapist | 1554 S Water St, Starke, FL 32091-4511 | 2012-03-21 |
| Street Address |
25727 NE STATE RD 26 |
| City | MELROSE |
| State | FL |
| Zip Code | 32666-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487166021 | Sandra June Northway | Nurse Practitioner | 1326 Fl-100 Melrose, Fl 32666, Melrose, FL 32666 | 2017-11-03 |
| 1477932408 | Eswt Inc | Specialist | 671 Se 5th Avenue, Box 91, Melrose, FL 32666 | 2015-05-22 |
| 1770722936 | Medical and Wellness Center of Melrose Corporation | Clinic/Center | 1745 Sr 100, Melrose, FL 32666 | 2009-02-11 |
| 1598987786 | Jeffrey C Smith | Dentist | 100 S R 26, Melrose, FL 32666 | 2007-05-03 |
| 1558491555 | Elisa Neale-tobener | Speech-Language Pathologist | 861 Hwy 21, Melrose, FL 32666 | 2007-03-07 |
| 1649280785 | Laura S Hodges | Physical Therapist | 25727 Ne Sr 26, Melrose, FL 32666 | 2006-08-09 |
| 1417150905 | Richard C Sturdivant | Specialist | 123 1st St, Melrose, FL 32666-3030 | 2007-06-11 |
| 1194104414 | Anne Wister | Specialist | 102 Serenity Dr, Melrose, FL 32666-3032 | 2015-05-19 |
| 1609033646 | Canaide Inc | Supports Brokerage | 723 State Road 26, Melrose, FL 32666-3139 | 2008-05-19 |
| 1831230564 | Delcora Howell | Nurse Practitioner | 1745 State Road 100, Melrose, FL 32666-3146 | 2007-02-08 |
| Find all providers in zip 32666 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179366 | Jessica W Cheung | Physical Therapist | 585 Lebanon St Ste 401, Melrose, MA 02176-3225 | 2020-03-21 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1376776518 | Ellen Tortolano | Physical Therapist | 92 Franklin Street, Melrose, MA 02176-4664 | 2009-09-03 |
| 1801060132 | Kristen E Bakis Cook | Physical Therapist | 18 Leah St, Melrose, MA 02176-4912 | 2008-04-17 |
| 1083884431 | Lisa L Tormo | Physical Therapist | 10 Nordic Way, Melrose, MA 02176-6513 | 2008-03-01 |
| 1235321746 | Therese Phyllis Giove | Physical Therapist | 18 Porter St, Melrose, MA 02176-2810 | 2007-08-17 |
| 1104027317 | Jerry Charles Neistadt | Physical Therapist | 22 Corey St, Melrose, MA 02176-4621 | 2007-05-29 |
| 1518010701 | Health Steps Rehab Inc | Physical Therapist | 309 Sr 26, Suite 3, Melrose, FL 32666-3264 | 2007-01-19 |
| 1750492468 | Keith Linsey | Physical Therapist | 721 Main Street, Nsoa Pt Unit, Melrose, MA 02176 | 2006-08-31 |
| 1649280785 | Laura S Hodges | Physical Therapist | 25727 Ne Sr 26, Melrose, FL 32666 | 2006-08-09 |
| Find all providers in MELROSE | ||||
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| 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.