LAKEWAY PHYSICAL THERAPY OUTPATIENT, PLLC
NPI 1588809461
Clinic/Center - Physical Therapy in Dover, TN
About Lakeway Physical Therapy Outpatient, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEWAY PHYSICAL THERAPY OUTPATIENT, PLLC (NPI 1588809461) is a healthcare organization registered as a physical therapy in Dover, Tennessee and active in the NPI registry since December 2008. The organization lists Joselito Pasaol, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Lakeway Physical Therapy Outpatient, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lakeway Physical Therapy Outpatient, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Lakeway Physical Therapy Outpatient, PLLC's NPI number?
The NPI number for Lakeway Physical Therapy Outpatient, PLLC is 1588809461. It was assigned to this organization in the NPPES registry on December 8, 2008.
Where is Lakeway Physical Therapy Outpatient, PLLC located?
Lakeway Physical Therapy Outpatient, PLLC is located at 402-C Church St., Dover, TN 37058. The listed phone number is (931) 232-4555.
What is Lakeway Physical Therapy Outpatient, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Lakeway Physical Therapy Outpatient, PLLC enrolled in Medicare?
Yes. Lakeway Physical Therapy Outpatient, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lakeway Physical Therapy Outpatient, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Lakeway Physical Therapy Outpatient, PLLC. 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 Lakeway Physical Therapy Outpatient, PLLC accept?
Health plans from Cigna Healthcare list Lakeway Physical Therapy Outpatient, PLLC 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 Lakeway Physical Therapy Outpatient, PLLC was last updated on March 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Lakeway Physical Therapy Outpatient, Pllc · NPI 1588809461
Physical Therapy organization in Dover, Tennessee. Organization record, active in the CMS NPPES registry since December 8, 2008.
## Identity
- **NPI:** 1588809461 (Entity type: Organization)
- **Enumerated:** December 8, 2008
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Joselito Pasaol, PRESIDENT
## Practice location
- **Address:** 402-C CHURCH ST., Dover, TN 37058
- **Phone:** (931) 232-4555 · **Fax:** (931) 232-4599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2012
- **Other identifiers:** Medicaid 1523011 (TN); Medicare PIN 103G704752 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1588809461) · Data from the CMS NPPES public registry.