LAKESIDE PHYSICAL THERAPY, LLC
NPI 1184854929
Rehabilitation Practitioner in Laurel, DE
About Lakeside Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE PHYSICAL THERAPY, LLC (NPI 1184854929) is a healthcare organization registered as a rehabilitation practitioner in Laurel, Delaware and active in the NPI registry since July 2009. The organization maintains a secondary practice location in Seaford and lists Metodio Amahit Pamplona, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lakeside Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Lakeside Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, LLC's NPI number?
The NPI number for Lakeside Physical Therapy, LLC is 1184854929. It was assigned to this organization in the NPPES registry on July 14, 2009.
Where is Lakeside Physical Therapy, LLC located?
Lakeside Physical Therapy, LLC is located at 404 E Front St, Laurel, DE 19956. The listed phone number is (302) 280-6920.
What is Lakeside Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.
Is Lakeside Physical Therapy, LLC enrolled in Medicare?
Yes. Lakeside Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeside Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Lakeside Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (8) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lakeside Physical Therapy, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Lakeside Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lakeside Physical Therapy, LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Lakeside Physical Therapy, Llc · NPI 1184854929
Rehabilitation Practitioner organization in Laurel, Delaware. Organization record, active in the CMS NPPES registry since July 14, 2009.
## Identity
- **NPI:** 1184854929 (Entity type: Organization)
- **Enumerated:** July 14, 2009
- **Primary specialty:** Rehabilitation Practitioner · taxonomy 225400000X
- **Organization subpart:** No
- **Authorized official:** Metodio Pamplona, OWNER
## Practice location
- **Address:** 404 E FRONT ST, Laurel, DE 19956-1741
- **Phone:** (302) 280-6920 · **Fax:** (302) 280-6921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (8), Occupational Therapist in Private Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2025
- **Other identifiers:** Other 1548466550 (DE); Other 1548494297 (DE)
---
Source: [NPI Profile](https://npiprofile.com/npi/1184854929) · Data from the CMS NPPES public registry.