LAKE PHYSICAL MEDICINE
NPI 1760884399
Physical Medicine & Rehabilitation - Pain Medicine in Mentor, OH

Q: What is Patrick T Boylan MD Inc's NPI number?

The NPI number for Patrick T Boylan MD Inc is 1760884399. It was assigned to this organization in the NPPES registry on September 26, 2014. The provider is doing business as Lake Physical Medicine.

Q: What is Patrick T Boylan MD Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Active since September 26, 2014

9485 MENTOR AVE STE 203, MENTOR, OH 44060(440) 205-9119 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lake Physical Medicine NPPES

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

LAKE PHYSICAL MEDICINE (NPI 1760884399) is a healthcare organization registered as a pain medicine in Mentor, Ohio and active in the NPI registry since September 2014. The organization lists Patrick T Boylan, Owner / Physician, as its authorized official.

NPPES Registry Identity

NPI1760884399

Entity TypeOrganization

Primary Taxonomy2081P2900X

Legal Business NamePATRICK T BOYLAN MD INC

Location Address9485 MENTOR AVE STE 203Mentor, OH 44060-8723

Mailing Address9485 Mentor Ave Ste 203Mentor, OH 44060-8723 · (440) 205-9119 · Fax (440) 205-9209

Phone(440) 205-9119

Organization SubpartNo

Authorized OfficialPatrick T BoylanOwner / Physician · (440) 205-9119

Enumeration DateSeptember 26, 2014

Last NPPES UpdateMarch 2, 2020

NPPES CertifiedMarch 2, 2020

✔ NPI 1760884399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in OH · 35072046

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

9485 MENTOR AVE STE 203, Mentor, OH 44060

Open in Google Maps ↗

Other Names 1

Doing Business AsLake Physical Medicine

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

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 Patrick T Boylan MD Inc's NPI number?

The NPI number for Patrick T Boylan MD Inc is 1760884399. It was assigned to this organization in the NPPES registry on September 26, 2014. The provider is doing business as Lake Physical Medicine.

Where is Patrick T Boylan MD Inc located?

Patrick T Boylan MD Inc is located at 9485 Mentor Ave Ste 203, Mentor, OH 44060. The listed phone number is (440) 205-9119.

What is Patrick T Boylan MD Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Patrick T Boylan MD Inc was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.