Lakeside Physical Therapy, LLC
NPI 1184854929ActiveOrganization· Rehabilitation Practitioner· Laurel, DE
Rehabilitation Practitioner in Laurel, Delaware, registered in NPPES in July 2009. The authorized official on file is Metodio Amahit Pamplona, P.T., Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1184854929 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | Apr 28, 2025 |
| Certified by provider | Apr 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | 2009603216 | DE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (DE) |
|---|