Individual provider Active NPI

Sonya Lane, PT

  • Physical Therapist
  • Lexington, SC
National Provider Identifier
1598058315
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1922 Issued in SC
Practice address
5432A Augusta Rd
Lexington, SC 29072-3892
Phone
(803) 957-3373
Fax
(803) 957-3372
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1922 SC Primary

Addresses

Primary practice location

5432A Augusta Rd
Lexington, SC 29072-3892

Mailing address

5432A Augusta Rd
Lexington, SC 29072-3892
Phone (803) 957-3373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427000119 SC Practitioner - Physical Therapist in Private Practice 4486019411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Healthcare LLCGroup PAC ID 7517100985, 3 clinicians

Practice addresses (Care Compare)

716 Old Cherokee Rd
Lexington, SC 29072-9406
Phone (803) 359-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Healthcare LLC CurrentSince Dec 26, 2023 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Conner Chiropractic, LLC CurrentSince Dec 26, 2023 Accepting new patients
In Shape Physical Therapy & Wellness Center LLC PastSince Oct 1, 2007 Accepting new patients

Locations

716 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 356-5526

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1598058315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432A AUGUSTA RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723892",
            "telephone_number": "803-957-3373",
            "fax_number": "803-957-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432A AUGUSTA RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723892",
            "telephone_number": "803-957-3373",
            "fax_number": "803-957-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SONYA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.