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

Mr. Warren James Lake, PT

Individual provider Physical Therapist · NPI 1659502979

Mr. Warren James Lake, PT is a Physical Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1530 W Glendale Ave Ste 101
Phoenix, AZ 85021-8578
Phone: (602) 242-1909
Fax: (877) 375-0934
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8589 (AZ)

Record details

NPI number1659502979
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 4, 2009
Last updated in NPPESFebruary 28, 2012

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