LANCE GEORGESON PHYSICAL THERAPIST - NPI 1306988274 - Physical Therapist in Mammoth Lakes, CA

Q: What is Lance Georgeson's NPI number?

The NPI number for Lance Georgeson is 1306988274. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Lance Georgeson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Lance Georgeson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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About Lance Georgeson Physical Therapist NPPES

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

LANCE GEORGESON PHYSICAL THERAPIST (NPI 1306988274) is an individual orthopedic provider in Mammoth Lakes, California, licensed in California (PT25858) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306988274

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameLANCE GEORGESONCredential: PHYSICAL THERAPIST

Location Address85 SIERRA PARK RDMammoth Lakes, CA 93546-0660

Mailing AddressPo Box 660, 85 Sierra Park RdMammoth Lakes, CA 93546-0660 · (760) 934-7302 · Fax (760) 934-1779

Phone(760) 934-7302

Fax(760) 934-1779

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1306988274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT25858

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical TherapistTaxonomy 225100000X · License PT25858 (CA)

Also ListedPhysical Therapist · ErgonomicsTaxonomy 2251E1200X · License PT25858 (CA)

Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License PT25858 (CA)

Also ListedPhysical Therapist · HandTaxonomy 2251H1200X · License PT25858 (CA)

Also ListedPhysical Therapist · NeurologyTaxonomy 2251N0400X · License PT25858 (CA)

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X · License PT25858 (CA)

Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License PT25858 (CA)

85 SIERRA PARK RD, Mammoth Lakes, CA 93546

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Other Providers at the Same Location NPPES 20

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

PHYLLIS LEE MENESES RN

Registered Nurse (Registered Nurse First Assistant)