Active NPI
Elizabeth Christianne Lane, P.T.
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1861692790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009112
- Practice address
- 550 Peachtree St NE
Suite 1020
Atlanta, GA 30308-2247 - Phone
- (404) 874-3467
- Fax
- (404) 874-5858
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- 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 | PT009112 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1020
Atlanta, GA 30308-2247
Mailing address
1153 Shephers Lane NE
Atlanta, GA 30324
Phone (678) 787-5244
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 |
|---|---|---|---|
| PT009112 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1861692790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 SHEPHERS LANE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30324",
"telephone_number": "678-787-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1020",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-874-3467",
"fax_number": "404-874-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ELIZABETH",
"middle_name": "CHRISTIANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.