Justin James Lane

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA28115 Issued in FL

Practice address

881 NW 99TH Ave
Pembroke Pines, FL 33024-6162

Phone

(954) 437-8099

NPI assigned

Dec 21, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cora Health Services Inc

  dba CORA Physical Therapy - East Pembroke Pines

  • Rehabilitation Clinic/Center
  • Pembroke Pines, FL
  • NPI 1124051776
  NPD (past)
• Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
  • NPI 1831234350
  NPD (past)

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1083120364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 KOKOMO KEY LN",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334836031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 NW 99TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246162",
            "telephone_number": "954-437-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lamounier
• Land of Smiles P.a.
• Jessica Landi
• Zevy Landman, MD
• Courtney Lane, RCSWI
• Latasha Latreviea Lane
• Joshua Langberg
• Janyne Langlois
• Cristina Lanuza Marrero, BCBA
• Victoria Valinluck Lao, MD, PHD

• Physical Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.