National Provider Identifier
Samana B. Lake, P.T.
Samana B. Lake, P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 482-5060.
Profile Overview
- NPI
- 1851425524
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 15, 2007
- Last Updated
- October 06, 2025
Practice Location
- 961 Panorama Trl S
- Rochester, NY 14625-2311
Phone: (585) 482-5060
Mailing Address
- 345 Birch Hills Dr
- Rochester, NY 14622-1303
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1851425524
- Entity Type
- Individual
- Last Name
- Lake
- First Name
- Samana
- Middle Name
- B.
- Name Prefix
- MS.
- Credential
- P.T.
- Provider Other Last Name
- Jasper
- Provider Other First Name
- Sheri
- Provider Other Middle Name
- B.
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- P.T.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 345 Birch Hills Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14622-1303
- Mailing Country
- US
- Mailing Phone
- (312) 256-5662
- Practice Street Address
- 961 Panorama Trl S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2311
- Practice Country
- US
- Practice Phone
- (585) 482-5060
- Practice Fax
- (585) 512-8372
- Enumeration Date
- March 15, 2007
- Last Updated
- October 06, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)