Lakeside Therapy Group
NPI 1033312574 · Speech-Language Pathologist · Bridgeport, WV
Lakeside Therapy Group is a Speech-Language Pathologist organization in Bridgeport, WV (NPI 1033312574).
Provider details
- NPI number
- 1033312574
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Stacy Bastin, Member Speech Therapist(304) 844-0099
- License
- SLP 0710 (WV)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lakeside Therapy Group's NPI number?
- Lakeside Therapy Group's National Provider Identifier (NPI) is 1033312574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Therapy Group?
- Lakeside Therapy Group is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Lakeside Therapy Group located?
- Lakeside Therapy Group's practice location on file with NPPES is 765 Brightridge Drive, Bridgeport, WV 26330.
- What is Lakeside Therapy Group's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Therapy Group is (304) 844-0099.
- Who is the authorized official for Lakeside Therapy Group?
- The authorized official listed on Lakeside Therapy Group's NPPES record is Stacy Bastin, Member Speech Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Therapy Group's NPI active?
- Yes — Lakeside Therapy Group's NPI (1033312574) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.