LAKESIDE PHYSICAL THERAPY & FITNESS CENTER (NPI# 1396984670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396984670 |
| Entity Type | Organization |
| Organization Name | LAKESIDE PHYSICAL THERAPY & FITNESS CENTER |
| Practice Address |
685 White Mountain Hwy Tamworth NH 03886-4625 |
| Mailing Address |
685 White Mountain Hwy Tamworth NH 03886-4638 |
| Practice Telephone | 6033232089 |
| Practice Fax Number | 6033232097 |
| Mailing Telephone | 6033232089 |
| Mailing Fax Number | 6033232097 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2014-07-28 |
| Authorized Official Name | MR. JACK TOMASZ HADAM (DPT/ OWNER) |
| Authorized Official Telephone | 6033232089 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1953 | NH | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386957843 | Lakeside Physical Therapy & Fitness Center | Physical Therapist | 680 White Mountain Hwy, Tamworth, NH 03886-4625 | 2010-07-26 |
| Street Address |
685 WHITE MOUNTAIN HWY |
| City | TAMWORTH |
| State | NH |
| Zip Code | 03886-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356302491 | Bruce D Latham | Family Medicine | 685 White Mountain Hwy, Tamworth, NH 03886-4638 | 2006-03-29 |
| 1386268720 | Bruce D. Latham, D.o.,p.a. | Family Medicine | 685 White Mountain Hwy, Tamworth, NH 03886-4638 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033459821 | Scott Monroe Wright | Physical Therapy Assistant | 593 Gardner Hill Road, Tamworth, NH 03886 | 2013-02-15 |
| 1255587937 | Huggins Hospital | Family Medicine | 577 White Mountain Hwy, Tamworth, NH 03886 | 2008-08-13 |
| 1861889164 | E-z Optical | Durable Medical Equipment & Medical Supplies | 680 White Mountain Hwy, Ste 3, Tamworth, NH 03886 | 2015-04-24 |
| 1578787198 | Tamworth School District | Local Education Agency (LEA) | 881 Tamworth Rd, Tamworth, NH 03886-4320 | 2007-04-13 |
| 1255485397 | Sheryl Lynn Power | Social Worker | 448 White Mountain Highway, Tamworth, NH 03886-4405 | 2007-01-23 |
| 1063594950 | Jack Tomasz Hadam | Legal Medicine | 680 White Mountain Hwy, Tamworth, NH 03886-4625 | 2006-10-19 |
| 1255734679 | Erika Birch Rezzuti | Technician/Technologist | 680 White Mountain Hwy, Suite #3, Tamworth, NH 03886-4625 | 2014-09-30 |
| 1386957843 | Lakeside Physical Therapy & Fitness Center | Physical Therapist | 680 White Mountain Hwy, Tamworth, NH 03886-4625 | 2010-07-26 |
| 1922233766 | Tri-county Community Action Program | Dentist | 448 White Mountain Hwy, Tamworth, NH 03886-4626 | 2009-05-22 |
| 1093959595 | Jennie P Carcaud-hennigar | Dentist | 448 White Mountain Hwy, Dental Center, Tamworth, NH 03886-4626 | 2009-04-28 |
| Find all providers in zip 03886 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003081829 | Lakeview Community Services | Clinic/Center | 448 White Mountain Hwy, Tamworth, NH 03886-4626 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837154 | Fit for Life Physical Theray, LLC | Clinic/Center | 41 Terrill Park Dr Unit A, Concord, NH 03301-5258 | 2020-09-24 |
| 1598383838 | Mobilization Physical Therapy | Clinic/Center | 57 Moulton Rd, Hampton, NH 03842-2156 | 2020-07-13 |
| 1770100893 | Renegade Movement and Performance, LLC | Clinic/Center | 200 Gay St, Manchester, NH 03103-7097 | 2020-07-06 |
| 1871003954 | Lymphedema Rehab, LLC | Clinic/Center | 6 Loudon Rd Ste 203, Concord, NH 03301-5321 | 2017-10-03 |
| 1366985947 | Barrington Physical Therapy, LLC | Clinic/Center | 29 Ledgeview Dr, Rochester, NH 03839-5618 | 2016-11-30 |
| 1093265548 | Process Physical Therapy, Pllc | Clinic/Center | 3 Progress Ave, Nashua, NH 03062-1908 | 2016-10-08 |
| 1700259348 | Leaps & Bounds Physical Therapy | Clinic/Center | 180 Emerald St Ste 204, Keene, NH 03431-3616 | 2015-11-04 |
| 1215339163 | Cj Physical Therapy and Wellness, LLC | Clinic/Center | 34 Fabyan Pt, Newington, NH 03801-2756 | 2014-09-23 |
| 1558796045 | Dover Physical Therapy | Clinic/Center | 273 Locust St, Suite 202, Dover, NH 03820-4009 | 2013-09-04 |
| 1922449784 | Allain Physical Therapy LLC | Clinic/Center | 72 S River Rd Ste 206, Bedford, NH 03110-6759 | 2013-07-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKESIDE PHYSICAL THERAPY & FITNESS CENTER.
| 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.