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

MS. Samana B. Lake, PT

Individual provider Physical Therapist · NPI 1851425524

MS. Samana B. Lake, PT is a Physical Therapist in Private Practice in Rochester, New York. Qualified in 1988, 38 years ago. Practices with Wellness 360 Physical Therapy and Massage PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
38
Licensed in
IL
In the registry since
2007
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

961 Panorama Trl S
Rochester, NY 14625-2311
Phone: (585) 482-5060
Fax: (585) 512-8372
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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 070005977 (IL)

Record details

NPI number1851425524
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Wellness 360 Physical Therapy And Massage Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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