Maryanne Lane, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17170 Issued in MA

Practice address

50 Boston Tpke
Inside World Gym
Shrewsbury, MA 01545-3540

Phone

(508) 459-5000

Fax

(508) 459-5900

NPI assigned

Jan 2, 2008

Last updated

Jan 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greendale Physical Therapy, LLC

  • Physical Therapist
  • Shrewsbury, MA
  • NPI 1053316182
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1902081615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60081",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016060081",
            "telephone_number": "508-459-5000",
            "fax_number": "508-459-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BOSTON TPKE",
            "address_2": "INSIDE WORLD GYM",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453540",
            "telephone_number": "508-459-5000",
            "fax_number": "508-459-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARYANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lady Grace Stores, Inc.
• Julianne Lagosz
• Lakeside Psychiatry PC
• Bradley Terry Lamberton, R.PH.
• Alissa T Lamoureux, DO
• Leigh Blythe Lanzoni, PHARMD
• Diana Rehnuma Lasker
• Denise M. Lavallee, LICSW
• Mikaela Andrea Lavallee
• Pavel Lavitas, PHARM.D.

• Physical Therapist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.