What is Jimma Lake's NPI number?

Jimma Lake's National Provider Identifier (NPI) is 1992900336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jimma Lake's specialty?

Jimma Lake is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Jimma Lake located?

Jimma Lake's practice location on file with NPPES is 112 Vintage Dr, Waxahachie, TX 75165-6510.

What is Jimma Lake's phone number?

The practice phone number listed in the NPPES registry for Jimma Lake is (214) 632-9075.

Is Jimma Lake's NPI active?

Yes — Jimma Lake's NPI (1992900336) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jimma Lake, LPTA

NPI 1992900336 · Physical Therapy Assistant · Waxahachie, TX

Jimma Lake, LPTA is a Physical Therapy Assistant provider in Waxahachie, TX (NPI 1992900336).

Provider details

NPI number: 1992900336
Entity type: Individual
Primary specialty: Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Credential: LPTA
Sex: Female
Sole proprietor: Yes
License: 2012555 (TX)

Practice location

112 Vintage Dr

Waxahachie, TX 75165-6510

Phone: (214) 632-9075

Fax: (972) 923-0493

Street-level locationGet directions

More TX providers

Mailing address

Po Box 81

Richland, TX 76681-0081

Specialties & taxonomies

Physical Therapy AssistantPrimary225200000XLicense 2012555 (TX)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(90/100 index)

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.

Enumerated: 2007-06-17
Last updated: 2007-07-08

Frequently asked questions

What is Jimma Lake's NPI number?: Jimma Lake's National Provider Identifier (NPI) is 1992900336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jimma Lake's specialty?: Jimma Lake is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Jimma Lake located?: Jimma Lake's practice location on file with NPPES is 112 Vintage Dr, Waxahachie, TX 75165-6510.
What is Jimma Lake's phone number?: The practice phone number listed in the NPPES registry for Jimma Lake is (214) 632-9075.
Is Jimma Lake's NPI active?: Yes — Jimma Lake's NPI (1992900336) is active in the NPPES registry as of the last update on 2007-07-08.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions