LAKEWAY PHYSICAL THERAPY OUTPATIENT, PLLC (NPI# 1588809461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588809461 |
| Entity Type | Organization |
| Organization Name | LAKEWAY PHYSICAL THERAPY OUTPATIENT, PLLC |
| Practice Address |
402-c Church St. Dover TN 37058 |
| Mailing Address |
75 Castleton Cv Paris TN 38242-5942 |
| Practice Telephone | 9312324555 |
| Practice Fax Number | 9312324599 |
| Mailing Telephone | 9312324555 |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | MR. JOSELITO PASAOL (PRESIDENT) |
| Authorized Official Telephone | 9312324555 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0590012 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1523011 | 05 |
| Street Address |
402-C CHURCH ST. |
| City | DOVER |
| State | TN |
| Zip Code | 37058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474681 | Rebecca Cravens | Nurse Practitioner | 1511 Donelson Parkway, Dover, TN 37058 | 2016-01-12 |
| 1487894028 | Joselito A Pasaol | Physical Therapist | 402 C Church Street, Dover, TN 37058 | 2009-02-23 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1437333614 | Tammy Lagan | Occupational Therapist | 949 Hwy 79, Dover, TN 37058 | 2007-12-24 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1689640898 | Price Edwin Hopson Jr. | Dentist | 1021 Spring St, Dover, TN 37058 | 2006-02-27 |
| 1154801207 | Crystal Lynn Shaw | Nurse Practitioner | 1511 Donelson Pkwy, Dover, TN 37058 | 2018-08-17 |
| 1235630112 | Elizabeth Amelia Estock | Registered Nurse | 1021 Spring St, Dover, TN 37058 | 2018-02-26 |
| 1740793736 | Mei-suey Chen | Internal Medicine | 314 Cedar St, Dover, TN 37058 | 2017-11-13 |
| 1831302991 | Rc Blane Enterprises, PC | Nurse Practitioner | 1225 Spring St, Dover, TN 37058-0219 | 2007-05-07 |
| Find all providers in zip 37058 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558796045 | Dover Physical Therapy | Clinic/Center | 273 Locust St, Suite 202, Dover, NH 03820-4009 | 2013-09-04 |
| 1023265048 | Jpt, LLC | Clinic/Center | 839 Central Ave, Dover, NH 03820-2506 | 2008-08-20 |
| 1114905643 | Benton County Physical Therapy | Clinic/Center | 543 Highway 79, Dover, TN 37058-5966 | 2006-01-05 |
| 1578061735 | Pam Physical Therapy Associates LLC | Clinic/Center | 1078 S State St, Dover, DE 19901-6925 | 2018-01-23 |
| 1508193608 | Mike Walsh Physical Therapy, LLC | Clinic/Center | 810 New Burton Rd, Suite 2, Dover, DE 19904-5488 | 2009-11-10 |
| 1346495439 | West Side Physical Therapy, LLC | Clinic/Center | 22 E Huntington Cir, Dover, DE 19904-9611 | 2008-11-17 |
| 1013947217 | Matrix Rehabilitation Delaware, Inc | Clinic/Center | 642 S Queen St, Suite 101, Dover, DE 19904-3506 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKEWAY PHYSICAL THERAPY OUTPATIENT, PLLC.
| 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.