Active NPI
Erick L Lane, DPT
- Physical Therapist
- Sherwood, AR
National Provider Identifier
1255688362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2921
- Practice address
- 2215 Wildwood Ave
Sherwood, AR 72120-5089 - Phone
- (501) 834-1800
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2921 | AR | Primary |
Addresses
Primary practice location
2215 Wildwood Ave
Sherwood, AR 72120-5089
Mailing address
4118 Robinwood Cir
Bryant, AR 72022-8353
Phone (501) 743-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2921 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1255688362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4118 ROBINWOOD CIR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720228353",
"telephone_number": "501-743-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 WILDWOOD AVE",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205089",
"telephone_number": "501-834-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ERICK",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.