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Stephen Taylor Lake, MPT

Physical Therapist in Ooltewah, TN · enumerated 2006 · practices at Agilitas Usa, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689620106

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Registry record

Entity type Individual (Type 1)
Name Stephen Taylor Lake
Credential MPT
Sex Male
Practice address 4957 Swinyar Dr Ste 103, Ooltewah, TN, 37363
Phone (423) 664-0800
Fax (423) 664-0801
Enumeration date May 26, 2006
Last updated in NPPES Oct 30, 2018

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 3705 (TN) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT004097 (GA) Secondary

Other identifiers

Identifier Type State Issuer
0446652 Medicaid TN -
3156797 Other TN BCBST - GROUP NUMBER
5441437 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Stephen Lake's NPI record?
Cross-check NPI 1689620106 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1689620106 active?
Yes, as of the latest NPPES snapshot, NPI 1689620106 is active (record last updated 2018-10-30).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-30.