LAKESIDE PHYSICAL THERAPY, LLC
NPI 1184854929
Rehabilitation Practitioner in Laurel, DE

Active since July 14, 2009
404 E FRONT ST, LAUREL, DE 19956(302) 280-6920(302) 280-6921 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 30, 2020, Mar 19, 2018 (2 updates tracked since 2018).

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

NPI1184854929
Entity TypeOrganization
Primary Taxonomy225400000X
Legal Business NameLAKESIDE PHYSICAL THERAPY, LLC
Location Address404 E FRONT STLaurel, DE 19956-1741
Mailing Address404 E Front StLaurel, DE 19956-1741 · (302) 280-6920 · Fax (302) 280-6921
Fax(302) 280-6921
Organization SubpartNo
Authorized OfficialMetodio Amahit PamplonaOwner · (302) 280-6920
Enumeration DateJuly 14, 2009
Last NPPES UpdateApril 28, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
NPI 1184854929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 2009603216 (DE)
404 E FRONT ST, Laurel, DE 19956

Secondary Practice Location 1

Location 124488 Sussex Hwy Ste 2Seaford, DE 19973-8470 · Phone (302) 990-5544 · Fax (302) 990-5545

Other Identifiers 2

Other1548466550DE · Npi
Other1548494297DE · Npi

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Physical Therapist
404 E FRONT ST
LAUREL, DE 19956
Physical Therapist
404 E FRONT ST
LAUREL, DE 19956
Physical Therapist
404 E FRONT ST
LAUREL, DE 19956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184854929, enumerated as an "organization" on July 14, 2009.

The provider is located at 404 E FRONT ST LAUREL, DE 19956 and the phone number is (302) 280-6920.

Rehabilitation Practitioner with taxonomy code 225400000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.