Physical Therapy Lane, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01396900 Issued in NJ

Legal business name

PHYSICAL THERAPY LANE, PC

Practice address

280 Grand Ave
Suite 2
Englewood, NJ 07631-4352

Phone

(347) 421-1752

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Alain SantosNPI 1043580962

Title

Physical Therapist/Owner

Phone

(347) 421-1752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alain Santos

  • Physical Therapist
  • East Elmhurst, NY
  • NPI 1043580962

  NJ

  Medicare reassignment Authorized official
• Renee Rousouli, L.AC.

  • Acupuncturist
  • Englewood, NJ
  • NPI 1073942769
  NPD (past)
• Une-Hi Song, M.S., L.AC.

  • Acupuncturist
  • Maywood, NJ
  • NPI 1891809000
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1194129007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 92ND ST",
            "address_2": "401",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 GRAND AVE",
            "address_2": "SUITE 2",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314352",
            "telephone_number": "347-421-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY LANE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "ALAIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "347-421-1752"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01396900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher L Petti, MD
• Renelaine Bontol Pfister
• Shannon Nicole Philpott, LSW
• Physical Medicine and Rehabilitation Center PA
• Physical Medicine and Rehabilitation Center, PA
• Jaclyn Pieklo
• Meredith Morris Pierson, PSYD
• Megan Piesman, , PHD LLC
• Peter Pietrandrea III, DO
• Alan S Pine, D.C.

• Physical Therapist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.