MARY KATHERINE M LAKE PT
NPI 1700012168
Physical Therapist in Peterborough, NH

Active since May 29, 2009Accepts Medicare Assignment
458 OLD STREET RD, PETERBOROUGH, NH 03458(603) 924-4635(603) 924-4634 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary Katherine M Lake Pt NPPES

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

MARY KATHERINE M LAKE PT (NPI 1700012168) is an individual physical therapist in Peterborough, New Hampshire, licensed in New Hampshire (2925) and active in the NPI registry since May 2009. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1700012168
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARY KATHERINE M LAKECredential: PT
Location Address458 OLD STREET RDPeterborough, NH 03458-1265
Mailing Address458 Old Street RdPeterborough, NH 03458-1265 · (603) 924-4635 · Fax (603) 924-4634
Fax(603) 924-4634
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMay 29, 2009
✔ NPI 1700012168 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 · 2925
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.
458 OLD STREET RD, Peterborough, NH 03458

Other Names 1

Other Name (5)Mary Kaye Lake Pt

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Katherine M Lake Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406138676
PECOS Enrollment IDI20170124000154

Medicare Billing Reassignment

Medicare enrollment records show Mary Katherine Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
150 RIVERMEAD RD
Peterborough, NH 03458
  • Reassigned Medicare billing, New Hampshire enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,105 services63 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
579 services45 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
550 services57 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
509 services57 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
325 services44 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
73 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Rheumatology)
458 OLD STREET RD
PETERBOROUGH, NH 03458
Specialist
458 OLD STREET RD, STE 200
PETERBOROUGH, NH 03458
Social Worker
458 OLD STREET RD, SUITE 202
PETERBOROUGH, NH 03458
Orthopaedic Surgery
458 OLD STREET RD, SUITE 200
PETERBOROUGH, NH 03458
Psychiatry & Neurology (Psychiatry)
458 OLD STREET RD, SUITE 202
PETERBOROUGH, NH 03458
Orthopaedic Surgery
458 OLD STREET RD, SUITE 200
PETERBOROUGH, NH 03458
Pain Medicine (Pain Medicine)
458 OLD STREET RD, SUITE 200
PETERBOROUGH, NH 03458
Orthopaedic Surgery
458 OLD STREET RD, SUITE 200
PETERBOROUGH, NH 03458

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 Mary Katherine Lake's NPI number?

The NPI number for Mary Katherine Lake is 1700012168. It was assigned to this individual provider in the NPPES registry on May 29, 2009. The provider is also known as Mary Kaye Lake Pt.

Where is Mary Katherine Lake located?

Mary Katherine Lake practices at 458 Old Street Rd, Peterborough, NH 03458. The listed phone number is (603) 924-4635.

What is Mary Katherine Lake's specialty?

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

Is Mary Katherine Lake enrolled in Medicare?

Yes. Mary Katherine Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Katherine Lake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Katherine Lake reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Peterborough, NH). The 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 Mary Katherine Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Katherine Lake was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.