Mary Lane, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005859 Issued in MI

Practice address

15520 19 Mile Rd Ste 450
Clinton Township, MI 48038-6332

Phone

(586) 416-2000

Fax

(586) 416-2013

NPI assigned

Jan 29, 2020

Last updated

Apr 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Osborne Former name

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1649801614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 19 MILE RD STE 450",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386332",
            "telephone_number": "586-416-2000",
            "fax_number": "586-416-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "OSBORNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Lalande
• Nikita Lamar
• Ashween Lamba
• Dolores Lamping, PSYS LMSW LPC
• Sara Marie Lampman, NP-BC
• Stephanie Emma Lange, LMSW, ACSW
• Joseph Christy Lanni, MA, LLPC
• Michele A Lapratt, LLMSW
• Karen Larkins, LPC
• Quanta Larkins

• Physical Therapy Assistant in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.