Lakeside Orthopedic Institute, LLC
NPI 1962636050 · Physical Therapist · Lake Havasu City, AZ
Lakeside Orthopedic Institute, LLC is a Physical Therapist organization in Lake Havasu City, AZ (NPI 1962636050).
Provider details
- NPI number
- 1962636050
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Wesley Johnson, President92885455555
- License
- 8192 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
17 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
- 2009-05-05
- Last updated
- 2009-05-05
Frequently asked questions
- What is Lakeside Orthopedic Institute, LLC's NPI number?
- Lakeside Orthopedic Institute, LLC's National Provider Identifier (NPI) is 1962636050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Orthopedic Institute, LLC?
- Lakeside Orthopedic Institute, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lakeside Orthopedic Institute, LLC located?
- Lakeside Orthopedic Institute, LLC's practice location on file with NPPES is 1979 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0953.
- What is Lakeside Orthopedic Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Orthopedic Institute, LLC is (928) 855-4842.
- Who is the authorized official for Lakeside Orthopedic Institute, LLC?
- The authorized official listed on Lakeside Orthopedic Institute, LLC's NPPES record is Wesley Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Orthopedic Institute, LLC's NPI active?
- Yes — Lakeside Orthopedic Institute, LLC's NPI (1962636050) is active in the NPPES registry as of the last update on 2009-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.