MRS. SANDRA ANN LAKE (NPI# 1780853739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780853739 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA ANN LAKE |
| Credential | PT |
| Practice Address |
3645 Cook St Louis MO 63113 |
| Mailing Address |
7321 Overbrook Dr St Louis MO 63121 |
| Practice Telephone | 3145312352 |
| Mailing Telephone | 3142613874 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 00146 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023393386 | Sandra L Lake | Social Worker | 350 Montevue Ln, Frederick, MD 21702-8214 | 2011-10-19 |
| 1568657344 | Sandra L. Lake | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2007-09-13 |
| Street Address |
3645 COOK |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366612780 | Ida Jeanelle West | Physical Therapist | 3645 Cook, Grand Manor, St Louis, MO 63113 | 2008-03-03 |
| 1568631349 | Tonni Smith | Physical Therapy Assistant | 3645 Cook, St Louis, MO 63113 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139937 | Kaniya Kashell Smotherman | In Home Supportive Care | 3834a Cotebrilliante Ave., St Louis, Mo, MO 63113 | 2018-10-01 |
| 1124530977 | Unique Diamonds, LLC | Counselor | 4068 Maffitt, St. Louis, MO 63113 | 2017-11-02 |
| 1821507831 | Another Day At Life LLC | Home Health | 1515 N Warson Rd Suite 103, St. Louis, MO 63113 | 2017-09-21 |
| 1124570999 | Carestl Health | Clinic/Center | 4248 Cottage Ave, Saint Louis, MO 63113 | 2016-10-27 |
| 1164801528 | Brittany Ashcraft | Social Worker | 1220 N Linbergh Blvd, Apt A, Saint Louis, MO 63113 | 2015-05-19 |
| 1538596465 | Enduring Heart In Home Care Services | Home Health | 1012 Sarah, Saint Louis, MO 63113 | 2013-10-10 |
| 1386989127 | Friends of African Amer. Family Service Center | Community/Behavioral Health | 1033 Whittier Avenue, Room 118, Saint Louis, MO 63113 | 2012-12-05 |
| 1598018202 | Shelia Latrese Bradford | Home Health | 3637 North Market St, St. Louis, MO 63113 | 2012-10-18 |
| 1043587736 | Angels Adult Day Care | Custodial Care Facility | 5021 Northland Avenue, Saint Louis, MO 63113 | 2011-11-23 |
| 1154575033 | Debra Lynn Miller | Occupational Therapist | 3645 Cook Ave., St. Louis, MO 63113 | 2008-11-05 |
| Find all providers in zip 63113 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427310820 | St Louis Behavioral Medicine Institute | Physical Therapist | 1139 Macklind Ave, St Louis, MO 63110-1440 | 2012-06-12 |
| 1588946909 | Mary S Elsea | Physical Therapist | 11709 Old Ballas Road Ste 205, Amato Physcial Therapy, St Louis, MO 63141-7076 | 2011-09-12 |
| 1144534330 | Celeste Key | Physical Therapist | 201 South Kirkwood Road, St Louis, MO 63122 | 2010-07-30 |
| 1548434541 | Accident Therapy & Rehab | Physical Therapist | 3012 Pershall, St Louis, MO 63136 | 2008-04-22 |
| 1558574426 | Shelley Danielle Goeddel | Physical Therapist | 8747 Big Ben Blvd, St Louis, MO 63119 | 2007-05-08 |
| 1700903366 | Pamela R Gonzales | Physical Therapist | 13610 Barrett Office Dr., Suite 104, St Louis, MO 63021 | 2007-03-26 |
| 1285696401 | Dwayne E Maxam | Physical Therapist | 3518 Laclede, Marchetti East, St Louis, MO 63103-2011 | 2006-04-04 |
| 1346604311 | Ann Marie Barton Crowe | Physical Therapist | 222 S Meramec Ave, Suite 100, St Louis, MO 63105 | 2016-04-06 |
| 1366612780 | Ida Jeanelle West | Physical Therapist | 3645 Cook, Grand Manor, St Louis, MO 63113 | 2008-03-03 |
| 1528253184 | Janet Merrill Schamp | Physical Therapist | 10 S Euclid, Suite G, St Louis, MO 63108 | 2007-09-07 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.