Catherine Amy Lane, M.S., P.T. – Physical Therapist

Key facts

NPI: 1013436690
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 07775R (LA)
Practice address: 16254 Comanche Ave
Greenwell Springs, LA 70739-6205
Phone: (225) 306-5195
NPI assigned: Sep 14, 2017
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

State licenses

License	State	Type	Specialty
07775R	LA	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	07775R	LA	Yes

Addresses

Primary practice location

16254 Comanche Ave
Greenwell Springs, LA 70739-6205

Mailing address

16254 Comanche Ave
Greenwell Springs, LA 70739-6205
Phone (225) 306-5195

Other names

Miss Catherine Amy Smallwood Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2017.

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1013436690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16254 COMANCHE AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707396205",
            "telephone_number": "225-306-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16254 COMANCHE AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707396205",
            "telephone_number": "225-306-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "CATHERINE",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07775R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "SMALLWOOD",
            "middle_name": "AMY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwell Springs, LA

All providers in Greenwell Springs, LA · Physical Therapist in Louisiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.