LAKESIDE PHYSICAL THERAPY & FITNESS CENTER
NPI 1386957843
Physical Therapist in Tamworth, NH

Active since July 26, 2010
685 WHITE MOUNTAIN HWY, TAMWORTH, NH 03886(603) 323-2089(603) 323-2097 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeside Physical Therapy & Fitness Center NPPES

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

LAKESIDE PHYSICAL THERAPY & FITNESS CENTER (NPI 1386957843) is a healthcare organization registered as a physical therapist in Tamworth, New Hampshire and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Tamworth and lists Jack Tomasz Hadam, President, as its authorized official.

NPPES Registry Identity

NPI1386957843
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameLAKESIDE PHYSICAL THERAPY & FITNESS CENTER
Location Address685 WHITE MOUNTAIN HWYTamworth, NH 03886-4638
Mailing Address685 White Mountain HwyTamworth, NH 03886-4638 · (603) 323-2089 · Fax (603) 323-2097
Fax(603) 323-2097
Organization SubpartNo
Authorized OfficialJack Tomasz HadamPresident · (603) 323-2089
Enumeration DateJuly 26, 2010
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1386957843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NH · 1953
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
685 WHITE MOUNTAIN HWY, Tamworth, NH 03886

Secondary Practice Location 1

Location 1680 White Mountain HwyTamworth, NH 03886-4625 · Phone (603) 323-2089 · Fax (603) 323-2097

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 & Fitness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Physical Therapy & Fitness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1063594950
685 WHITE MOUNTAIN HWY
Tamworth, NH 03886
(603) 323-2089
✔ Accepts MedicareSame address

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 & Fitness Center's NPI number?

The NPI number for Lakeside Physical Therapy & Fitness Center is 1386957843. It was assigned to this organization in the NPPES registry on July 26, 2010.

Where is Lakeside Physical Therapy & Fitness Center located?

Lakeside Physical Therapy & Fitness Center is located at 685 White Mountain Hwy, Tamworth, NH 03886. The listed phone number is (603) 323-2089.

What is Lakeside Physical Therapy & Fitness Center's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lakeside Physical Therapy & Fitness Center enrolled in Medicare?

Yes. Lakeside Physical Therapy & Fitness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeside Physical Therapy & Fitness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Lakeside Physical Therapy & Fitness Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeside Physical Therapy & Fitness Center accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lakeside Physical Therapy & Fitness Center 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 & Fitness Center was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.