Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeport Physical Therapy, Inc

Organization Physical Therapist · NPI 1386988970

Lakeport Physical Therapy, Inc is a Physical Therapist in Lakeport, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

381 Lakeport Blvd
Lakeport, CA 95453-5412
Phone: (707) 263-5210
Fax: (707) 263-8045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT17230 (CA)

Record details

NPI number1386988970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Hurst — Manager · (707) 263-5210
NPI enumeratedNovember 20, 2012
Last updated in NPPESNovember 20, 2012
Mailing address381 Lakeport Blvd, Lakeport, CA 95453-5412

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