Clear Lake Physical Therapy Inc - Physical Therapist in Lakeport, CA

Clear Lake Physical Therapy Inc is a Physical Therapist based in Lakeport, California. Clear Lake Physical Therapy Inc is licensed to practice in California (license number PT17230) and their current practice location is 1173 11th Street, Lakeport, California. It can be reached at their office (for appointments etc.) via phone at (707) 263-1295.

NPI number for Clear Lake Physical Therapy Inc is 1245295385 and their current mailing address is 1173 11th Street, Lakeport, California. Clear Lake Physical Therapy Inc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1245295385.

Contact Information

Clear Lake Physical Therapy Inc
1173 11th Street,
Lakeport, CA 95453
(707) 263-1295
(707) 263-1295

Map and Direction




Healthcare Provider's Profile

Full NameClear Lake Physical Therapy Inc
TypeFacility
SpecialityPhysical Therapist
Location1173 11th Street, Lakeport, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245295385
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 12/01/2009

Medical Identifiers

Medical identifiers for Clear Lake Physical Therapy Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245295385NPI-NPPES
GPT001040MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT17230 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clear Lake Physical Therapy Inc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clear Lake Physical Therapy Inc
1173 11th Street,
Lakeport, CA 95453

Ph: (707) 263-1295
Clear Lake Physical Therapy Inc
1173 11th Street,
Lakeport, CA 95453

Ph: (707) 263-1295

Reviews and Comments


Physical Therapist in Lakeport, CA

Mr. Lemuel Campomanes Martin, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1281 Craig Avenue, Lakeport, CA 95453
Phone: 707-263-4564    Fax: 707-263-4572
Aundrea Renee Tyner, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453
Phone: 707-263-5210    
Matthew J. Garrean, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1281 Craig Ave, Lakeport, CA 95453
Phone: 707-263-4564    Fax: 707-263-4572
Lakeport Physical Therapy, Inc.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453
Phone: 707-263-5210    Fax: 707-263-8045
Quail Run Physical Therapy
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 422 Lakeport Blvd, Lakeport, CA 95453
Phone: 707-263-6845    Fax: 707-263-6451

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.