Denise Marie Lane, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291801 Issued in CA

Practice address

4482 Barranca Pkwy Ste 195
Irvine, CA 92604-4706

Phone

(949) 679-3337

Fax

(949) 679-3336

NPI assigned

Aug 6, 2016

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

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Orthopedic Rehabilitation Centers LLCGroup PAC ID 3678560695, 10 clinicians

Premiere Physical Therapy and Sports Rehab LLCGroup PAC ID 9234236183, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic Rehabilitation Centers LLC

  • Physical Therapist
  • Little Rock, AR
  • NPI 1780692491
  Medicare reassignment Care Compare group NPD
• Premiere Physical Therapy and Sports Rehab LLC

  • Physical Therapy Clinic/Center
  • Bentonville, AR
  • NPI 1134258981

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Samimi Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Covina, CA
  • NPI 1780803080
  NPD (past)
• Southland Physical Therapy Mission Viejo Clinic, PC

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1023569795
  NPD (past)

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1013461185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044706",
            "telephone_number": "949-679-3337",
            "fax_number": "949-679-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044706",
            "telephone_number": "949-679-3337",
            "fax_number": "949-679-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2492 Walnut Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927806953",
            "country_code": "US",
            "telephone_number": "714-544-2188",
            "fax_number": "714-544-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-06",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allan Landeros, FNP-C
• Elise Landgraf
• Cinthia Landin, APCC
• Jasmine Landis
• Andraya Lane
• Taylor Laneau
• Howard Gerald Lang, M.D.
• Benjamin Robert Lange
• Ryan Lange, D.M.D.
• Brittany Michelle Langevin, AGACNP-BC

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.