Lakeside Physical Therapy, Inc.
NPI 1093945891 · Physical Therapy Clinic/Center · Mission Viejo, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Physical Therapy, Inc. is a Physical Therapy Clinic/Center organization in Mission Viejo, CA (NPI 1093945891).
Provider details
- NPI number
- 1093945891
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Fred Kim, Owner(949) 707-5442
- License
- 28555 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- 2009-07-15
- Last updated
- 2009-07-15
Frequently asked questions
- What is Lakeside Physical Therapy, Inc.'s NPI number?
- Lakeside Physical Therapy, Inc.'s National Provider Identifier (NPI) is 1093945891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Physical Therapy, Inc.?
- Lakeside Physical Therapy, Inc. is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Physical Therapy, Inc. located?
- Lakeside Physical Therapy, Inc.'s practice location on file with NPPES is 27722 Vista Del Lago, Mission Viejo, CA 92692-1133.
- What is Lakeside Physical Therapy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Lakeside Physical Therapy, Inc. is (949) 842-5735.
- Does Lakeside Physical Therapy, Inc. accept Medicare?
- Lakeside Physical Therapy, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Physical Therapy, Inc.?
- The authorized official listed on Lakeside Physical Therapy, Inc.'s NPPES record is Fred Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Physical Therapy, Inc.'s NPI active?
- Yes — Lakeside Physical Therapy, Inc.'s NPI (1093945891) is active in the NPPES registry as of the last update on 2009-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.