Lydia Pane, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1560 3Rd Ave
Longview, WA 98632-3229

Phone

(360) 423-9535

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AK, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Physical Therapy Limited PartnershipGroup PAC ID 4880990753, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebound Physical Therapy Limited Partnership

  • Physical Therapist
  • Bend, OR
  • NPI 1164888764
  Medicare reassignment Care Compare group NPD
• Advanced Physical Therapy Inc

  • Physical Therapist
  • Anchorage, AK
  • NPI 1437214459
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Physiotherapy Associates Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Happy Valley, OR
  • NPI 1083339618
  NPD
• Physiotherapy Associates, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tigard, OR
  • NPI 1184362337
  NPD
• Rebound Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Prineville, OR
  • NPI 1497571525

  Physical Therapist

  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1972225134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 S BOUNDARY ST APT 222",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972398507",
            "telephone_number": "303-827-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 3RD AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323229",
            "telephone_number": "360-423-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANE",
        "first_name": "LYDIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya M Packard, BS, CDPT
• William Edward Padden, CPC
• Carol Ann Pahlke, PHD
• George Palmer, P.T
• Meggan Palmer
• David Jude Paris, PMHNP-BC
• Andrew Jiho Park I, MA
• Ariel Rachel Park, DMD
• Dennis Chai Sun Park I, MA/MS, CADCIII, CDP
• Dong-Wouk Park, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.