Active NPI
Gabrielle Lane, PT, DPT
- Physical Therapist
- Bryson City, NC
National Provider Identifier
1992589949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22475
- Practice address
- 80 Songbird Forest Rd
Bryson City, NC 28713-0929 - Phone
- (828) 550-3923
- Fax
- (828) 354-0209
- NPI assigned
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Physical Therapist
- Sylva, NC
- NPI 1710419619
NC, Physical Therapist
-
- Skilled Nursing Facility
- Cherokee, NC
- NPI 1073168316
-
- Methadone Clinic
- Cherokee, NC
- NPI 1295336386
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
-
- Registered Dietitian
- Cullowhee, NC
- NPI 1538768577
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Hospital Rd
Cherokee, NC 28719-9253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231018002746 | NC | Practitioner - Physical Therapist in Private Practice | 5597110056 | Reassigns benefits to 1 organization |
| I20250821002096 | TX | Practitioner - Physical Therapist in Private Practice | 5597110056 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22475 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Smoky Mountain Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Custom Nutrition & Wellness LLC | Past | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients |
Locations
80 Songbird Forest Rd
Bryson City, NC 28713
Phone (828) 488-0040
90 E Main St
#1
Sylva, NC 28779
Phone (828) 550-3923
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 | P22475 | NC | Primary |
Addresses
Primary practice location
80 Songbird Forest Rd
Bryson City, NC 28713-0929
Mailing address
90 E Main St
Sylva, NC 28779-3030
Phone (828) 631-3009
NPI Registry JSON
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1992589949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E MAIN ST",
"city": "SYLVA",
"state": "NC",
"postal_code": "287793030",
"telephone_number": "828-631-3009",
"fax_number": "828-354-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SONGBIRD FOREST RD",
"city": "BRYSON CITY",
"state": "NC",
"postal_code": "287130929",
"telephone_number": "828-550-3923",
"fax_number": "828-354-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "GABRIELLE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryson City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.