Julianne Lane

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61335568 Issued in WA

Practice address

1200 Westlake Ave N Ste 100
Seattle, WA 98109-7201

Phone

(206) 405-1864

NPI assigned

Oct 3, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bespoke San Diego Physical Therapy PCGroup PAC ID 7012388168, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bespoke San Diego Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1245847540

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Movement Systems Physical Therapy, P.S.

  • Physical Therapist
  • Seattle, WA
  • NPI 1659324051
  Medicare reassignment NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1821712852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 SW 119TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981462464",
            "telephone_number": "425-890-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTLAKE AVE N STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981097201",
            "telephone_number": "206-405-1864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Lake Shore Plz Ste C",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980336110",
            "country_code": "US",
            "telephone_number": "425-890-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "JULIANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61335568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julianne@seattlesportsinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "52 Lake Shore Plz Ste C",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980336110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Jean Lane, OTR
• Erica Lane
• Erin Richardson Lane, M.D.
• Hannah Lane
• Jenna Nicole Ward Lane, ARNP
• Katherine Jean Lane, RDN
• Olivia Lane, MD
• Peyton G. Lane, CRNA
• Robert Lane, M.D.
• Roselyn Marie Lane, RN

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.