Deanna Lane, PTA, CKPT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 03040 Issued in OH

Practice address

1216 5TH Ave
Youngstown, OH 44504-1605

Phone

(330) 746-2944

Fax

(330) 746-2882

NPI assigned

Mar 4, 2014

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1407271240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45555 MCHENRY ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439203984",
            "telephone_number": "330-532-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 5TH AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041605",
            "telephone_number": "330-746-2944",
            "fax_number": "330-746-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DEANNA",
        "credential": "PTA, CKPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA 03040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Yvette Landers, APRN, FNP-C
• Josette Landis, MSW, LSW
• Valorie R Landis
• Gregory Landolfi
• Benjamin Darnell Lane
• Jennifer Lane, LISW
• Stacy Aleks Lane, DO
• Eron Laney
• Holly J Lang, CDCA-PRE
• Shakeyria Wilnae Lanier

• Physical Therapy Assistant in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.