Organization
LAKESIDE PHYSICAL THERAPY, LLC
Active
Organization
LAKESIDE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. METODIO AMAHIT PAMPLONA JR. P.T. (OWNER)
(302) 280-6920
Entity
Organization
Contact information
Practice address
404 E FRONT ST, LAUREL, DE 19956-1741
(302) 280-6920
(302) 280-6921
Mailing address
404 E FRONT ST, LAUREL, DE 19956-1741
(302) 280-6920
(302) 280-6921
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
2009603216
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548466550
NPI
DE
01
—
1548494297
NPI
DE
Enumeration date
07/14/2009
Last updated
04/28/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up