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Lakeside Orthopedic Institute, LLC

Physical Therapist in Lake Havasu City, AZ · enumerated 2009 · authorized official Wesley Johnson, President.

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

National Provider Identifier

1962636050

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Orthopedic Institute, LLC
Practice address 1979 Mcculloch Blvd N, Suite 101, Lake Havasu City, AZ, 86403
Phone (928) 855-4842
Fax (928) 855-7452
Enumeration date May 5, 2009
Last updated in NPPES May 5, 2009

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2641 (AZ) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 8192 (AZ) Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 6762 (AZ) Secondary

Authorized official

Name Wesley Johnson
Title President
Phone 92885455555

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

Where is Lakeside Orthopedic Institute, LLC located?
The practice location on file with NPPES is in Lake Havasu City, AZ.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-05-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-05-05.