Renee Trahan Lane, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00379 Issued in LA

Practice address

1398 E Bayou Pkwy Apt C
Lafayette, LA 70508-5532

Phone

(337) 280-7907

Fax

(337) 993-7445

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Prof. Renee Trahan Daigle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013135805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 E BAYOU PKWY APT C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085532",
            "telephone_number": "337-280-7907",
            "fax_number": "337-993-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1398 E BAYOU PKWY APT C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085532",
            "telephone_number": "337-280-7907",
            "fax_number": "337-993-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "RENEE",
        "middle_name": "TRAHAN",
        "name_prefix": "Prof.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "DAIGLE",
            "middle_name": "TRAHAN",
            "prefix": "PROF.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaely Landry
• Shane Landry, RPH
• Shane Michael Landry
• Sonya Kaye Landry, PHARMD
• Alexandra Jean Lane, PT, DPT
• Erin Eaton Langford, MD
• Yolanda Langham
• Kirk Philip Langheinz, M.D.
• Adam-Paul Langlinais, P.A.
• Camille Buetow Langlinais, MA, LPC

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.