LAKESIDE ORTHOPEDIC INSTITUTE, LLC
NPI 1962636050
Physical Therapist in Lake Havasu City, AZ

Active since May 05, 2009
1979 MCCULLOCH BLVD N, SUITE 101, LAKE HAVASU CITY, AZ 86403(928) 855-4842(928) 855-7452 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Orthopedic Institute, Llc NPPES

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

LAKESIDE ORTHOPEDIC INSTITUTE, LLC (NPI 1962636050) is a healthcare organization registered as a physical therapist in Lake Havasu City, Arizona and active in the NPI registry since May 2009. The organization lists Wesley James Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1962636050
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameLAKESIDE ORTHOPEDIC INSTITUTE, LLC
Location Address1979 MCCULLOCH BLVD N, SUITE 101Lake Havasu City, AZ 86403-0953
Mailing Address25 Riviera BlvdLake Havasu City, AZ 86403-5694 · (928) 854-5555 · Fax (928) 854-5573
Fax(928) 855-7452
Organization SubpartNo
Authorized OfficialWesley James JohnsonPresident · 92885455555
Enumeration DateMay 5, 2009
NPI 1962636050 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
Licenses Licensed in AZ · 2641 Licensed in AZ · 8192 Licensed in AZ · 6762
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.
1979 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403

Other Identifiers 1

Medicare PINZ110835AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
1979 MCCULLOCH BLVD N, SUITE 203
LAKE HAVASU CITY, AZ 86403
Clinic/Center (Mental Health (Including Community Mental Health Center))
1979 MCCULLOCH BLVD N, STE. 202
LAKE HAVASU CITY, AZ 86403
Social Worker (Clinical)
1979 MCCULLOCH BLVD N, SUITE 202
LAKE HAVASU CITY, AZ 86403

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 Orthopedic Institute, LLC's NPI number?

The NPI number for Lakeside Orthopedic Institute, LLC is 1962636050. It was assigned to this organization in the NPPES registry on May 5, 2009.

Where is Lakeside Orthopedic Institute, LLC located?

Lakeside Orthopedic Institute, LLC is located at 1979 Mcculloch Blvd N Suite 101, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-4842.

What is Lakeside Orthopedic Institute, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeside Orthopedic Institute, LLC was last updated on May 5, 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.