Warren Lake, P.T.
NPI 1659502979 · Physical Therapist · Phoenix, AZ
Warren Lake, P.T. is a Physical Therapist provider in Phoenix, AZ (NPI 1659502979).
Provider details
- NPI number
- 1659502979
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8589 (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
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
- 2009-08-04
- Last updated
- 2012-02-28
Frequently asked questions
- What is Warren Lake's NPI number?
- Warren Lake's National Provider Identifier (NPI) is 1659502979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Warren Lake's specialty?
- Warren Lake is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Warren Lake located?
- Warren Lake's practice location on file with NPPES is 1530 W Glendale Ave, Phoenix, AZ 85021-8578.
- What is Warren Lake's phone number?
- The practice phone number listed in the NPPES registry for Warren Lake is (602) 242-1909.
- Is Warren Lake's NPI active?
- Yes — Warren Lake's NPI (1659502979) is active in the NPPES registry as of the last update on 2012-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.