LAKESIDE ORTHOPEDIC INSTITUTE
NPI 1154780633
Specialist/Technologist - Athletic Trainer in Lake Havasu City, AZ

Active since February 12, 2016
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403(928) 505-5555 Get Directions Write a Review

NPPES record last updated: February 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Orthopedic Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ORTHOPEDIC INSTITUTE (NPI 1154780633) is a healthcare organization registered as an athletic trainer in Lake Havasu City, Arizona and active in the NPI registry since February 2016. The organization lists Kristina Horton, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154780633
Entity TypeOrganization
Primary Taxonomy2255A2300X
Legal Business NameLAKESIDE PHYSICAL THERAPY, REHAB & SPORTS MEDICINE
Location Address25 RIVIERA BLVDLake Havasu City, AZ 86403-5694
Mailing Address1791 Mesquite AveLake Havasu City, AZ 86403-5648 · (928) 855-4248
Organization SubpartNo
Authorized OfficialKristina HortonOffice Manager · (928) 855-4248
Enumeration DateFebruary 12, 2016
NPI 1154780633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License Licensed in AZ · 1448
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
25 RIVIERA BLVD, Lake Havasu City, AZ 86403

Other Names 1

Other NameLakeside Orthopedic Institute

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Physical Therapist
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Anesthesiology (Pain Medicine)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Podiatrist (Foot & Ankle Surgery)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Radiology, Mobile)
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Physical Medicine & Rehabilitation
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Orthopaedic Surgery
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403
Durable Medical Equipment & Medical Supplies
25 RIVIERA BLVD
LAKE HAVASU CITY, AZ 86403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Physical Therapy, Rehab & Sports Medicine's NPI number?

The NPI number for Lakeside Physical Therapy, Rehab & Sports Medicine is 1154780633. It was assigned to this organization in the NPPES registry on February 12, 2016. The provider is also known as Lakeside Orthopedic Institute.

Where is Lakeside Physical Therapy, Rehab & Sports Medicine located?

Lakeside Physical Therapy, Rehab & Sports Medicine is located at 25 Riviera Blvd, Lake Havasu City, AZ 86403. The listed phone number is (928) 505-5555.

What is Lakeside Physical Therapy, Rehab & Sports Medicine's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Lakeside Physical Therapy, Rehab & Sports Medicine was last updated on February 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.