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

Zachary Edward Lake, DPT

Individual provider Physical Therapist · NPI 1760255236

Zachary Edward Lake, DPT is a Physical Therapist in Private Practice in Cranston, Rhode Island. Qualified in 2023, 3 years ago. Practices with Pappas Physical Therapy LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
3
Licensed in
RI
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1100 Reservoir Ave
Cranston, RI 02910-5121
Phone: (401) 785-3334
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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 03748 (RI)

Record details

NPI number1760255236
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pappas Physical Therapy Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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