STEPHEN TAYLOR LAKE (NPI# 1689620106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689620106 |
| Entity Type | Individual |
| Full Name | STEPHEN TAYLOR LAKE |
| Credential | MPT |
| Practice Address |
4957 Swinyar Dr Ste 103 Ooltewah TN 37363-2205 |
| Mailing Address |
800 Crescent Centre Dr Ste 600 Franklin TN 37067-7286 |
| Practice Telephone | 4236640800 |
| Practice Fax Number | 4236640801 |
| Mailing Telephone | 6153731350 |
| Mailing Fax Number | 6152219054 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 3705 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT004097 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBST - GROUP NUMBER | 3156797 | 01 |
| TN | 5441437 | 05 | |
| TN | 0446652 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1736 Gunbarrel Rd Ste B, Chattanooga, TN 37421 | 4238949893 | 4238940992 |
| Street Address |
4957 SWINYAR DR STE 103 |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619320892 | Amelia Spinosa Barrios | Physical Therapist | 4957 Swinyar Dr Ste 103, Ooltewah, TN 37363-2205 | 2016-07-22 |
| 1215333778 | Agilitas Usa, Inc | Clinic/Center | 4957 Swinyar Dr Ste 103, Ooltewah, TN 37363-2205 | 2014-11-11 |
| 1144528092 | Clarence Herbert Clifton IIi | Physical Therapist | 4957 Swinyar Dr Ste 103, Ooltewah, TN 37363-2205 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| 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 |
|---|---|---|---|---|
| 1437623881 | Brianna Mullins Ozburn | Physical Therapist | 5948 Howe Ln Ste 106, Ooltewah, TN 37363-2217 | 2019-01-18 |
| 1477068039 | Judith Lynn Aranda | Physical Therapist | 5604 Old Hunter Rd, Ooltewah, TN 37363-8815 | 2017-12-05 |
| 1205172889 | Corrie Martin Large | Physical Therapist | 9408 Apison Pike Ste 150, Ooltewah, TN 37363 | 2012-12-30 |
| 1982951653 | Andrew Keith Johnson | Physical Therapist | 6841 Mountain View Rd., Ooltewah, TN 37363 | 2012-08-13 |
| 1205124260 | Sarah Jessica Wingo | Physical Therapist | 8617 Seven Lakes Dr, Ooltewah, TN 37363-4942 | 2011-07-12 |
| 1144405077 | Eric Todd Badillo | Physical Therapist | 4308 Cele Ct, Ooltewah, TN 37363-8699 | 2008-01-09 |
| 1760699110 | Russell Atkins | Physical Therapist | 5704 Main St, Ooltewah, TN 37363-8713 | 2007-05-16 |
| 1134247356 | Melissa Hardison Pettway | Physical Therapist | 3065 Roundabout Ln, Ooltewah, TN 37363-6977 | 2007-03-26 |
| 1952332967 | Janet Greer D'amico | Physical Therapist | 5572 Little Debbie Pkwy, Ste.122, Ooltewah, TN 37363-4364 | 2006-07-06 |
| 1841238193 | Katherine Susanna Medley | Physical Therapist | 9222 Lee Hwy Ste C, Ooltewah, TN 37363-8872 | 2006-06-02 |
| Find all providers in OOLTEWAH | ||||
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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.