Lakeside Physical Therapy, Rehab & Sports Medicine
NPI 1154780633 · Athletic Trainer · Lake Havasu City, AZ
Lakeside Physical Therapy, Rehab & Sports Medicine is a Athletic Trainer organization in Lake Havasu City, AZ (NPI 1154780633).
Provider details
- NPI number
- 1154780633
- Entity type
- Organization
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kristina Horton, Office Manager(928) 855-4248
- License
- 1448 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Other name
- Lakeside Orthopedic Institute
Registry dates
- Enumerated
- 2016-02-12
- Last updated
- 2016-02-12
Frequently asked questions
- What is Lakeside Physical Therapy, Rehab & Sports Medicine's NPI number?
- Lakeside Physical Therapy, Rehab & Sports Medicine's National Provider Identifier (NPI) is 1154780633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Physical Therapy, Rehab & Sports Medicine?
- Lakeside Physical Therapy, Rehab & Sports Medicine is classified in the NPPES registry as Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lakeside Physical Therapy, Rehab & Sports Medicine located?
- Lakeside Physical Therapy, Rehab & Sports Medicine's practice location on file with NPPES is 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694.
- What is Lakeside Physical Therapy, Rehab & Sports Medicine's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Physical Therapy, Rehab & Sports Medicine is (928) 505-5555.
- Who is the authorized official for Lakeside Physical Therapy, Rehab & Sports Medicine?
- The authorized official listed on Lakeside Physical Therapy, Rehab & Sports Medicine's NPPES record is Kristina Horton, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Physical Therapy, Rehab & Sports Medicine's NPI active?
- Yes — Lakeside Physical Therapy, Rehab & Sports Medicine's NPI (1154780633) is active in the NPPES registry as of the last update on 2016-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.