Lakeside Therapy Group
Lakeside Therapy Group is a healthcare organization registered as Speech-Language Pathologist in Bridgeport, WV, holding Type 2 (organization) NPI 1033312574 since 2007. The authorized official on file is Stacy Bastin, Member Speech Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033312574 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lakeside Therapy Group |
| Practice address | 765 BRIGHTRIDGE DRIVE, Bridgeport, WV, 26330 |
| Phone | 3048440099 |
| Fax | 3048480265 |
| Enumeration date | 2007-06-11 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Stacy Bastin |
|---|---|
| Title | Member Speech Therapist |
| Phone | 3048440099 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | Primary | SLP 0710 | WV |
Copy-ready billing details
Provider: Lakeside Therapy Group NPI: 1033312574 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 765 BRIGHTRIDGE DRIVE, Bridgeport, WV, 26330
Verify this record
Cross-check NPI 1033312574 against the authoritative CMS record: view Lakeside Therapy Group on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lakeside Therapy Group?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.