Active NPI
Hope Anneliese Lane, PT, DPT
- Physical Therapist
- Ocala, FL
National Provider Identifier
1871821397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30378
- Practice address
- 1710 SE 16TH Ave
Ocala, FL 34471-4656 - Phone
- (352) 620-1900
- Fax
- (352) 620-1901
- NPI assigned
- Nov 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30378 | FL | Primary |
| Massage Therapist | 225700000X | MA55128 | FL |
Addresses
Primary practice location
1710 SE 16TH Ave
Ocala, FL 34471-4656
Mailing address
4500 W Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IG522Z | Other | FL | MEDICARE PTAN |
| IG522Y | Other | FL | MEDICARE PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30378 | FL | MD | Physical Therapist |
| MA55128 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1871821397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 W NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072245",
"telephone_number": "352-336-6000",
"fax_number": "352-332-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 SE 16TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344714656",
"telephone_number": "352-620-1900",
"fax_number": "352-620-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "HOPE",
"middle_name": "ANNELIESE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30378",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA55128",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IG522Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IG522Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.