Lakeside Physical Therapy and Wellness, LLC
NPI 1205694148ActiveOrganization· Physical Therapist· Parsippany, NJ
Physical Therapist in Parsippany, New Jersey, registered in NPPES in March 2024. The authorized official on file is Christy D. Montana, PT, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1205694148 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2024 |
| Last updated in NPPES | Oct 30, 2026 |
| Certified by provider | Oct 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 (NJ) |
|---|
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