Active NPIIndividual providerSole proprietor

Shannon M Lane

Physical Therapy Assistant in Providence, Rhode Island

NPI Number1215283825
Practice location
195 Collyer St, Providence, RI 02904-1869
Fax
—
Last updated
August 1, 2012

Shannon Marie Lane is a Physical Therapy Assistant based in Providence, RI. Shannon Marie Lane practices in Providence, RI. The NPI Number for Shannon Marie Lane is 1215283825 and holds a License No. PTA 00880 (RI). The current practice location address for Shannon Marie Lane is 195 Collyer St, Providence, RI 02904-1869 and can be reached out via phone at 401-793-4080.

Provider Profile Details

NPI Number
1215283825
Provider Name
Shannon Marie Lane
Provider Entity Type
Individual
Gender
Female
Address
195 Collyer St, Providence, RI 02904-1869
Phone Number
401-793-4080
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
Yes
Provider Enumeration Date
August 1, 2012
Last Update Date
August 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Collyer St
Providence, RI 02904-1869
Zip
02904-1869
Phone Number
401-793-4080
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
195 Collyer St
Providence, RI 02904-1869
City
Providence
State
RI
Zip
02904-1869
Phone Number
401-793-4080

License Information

License Number
PTA 00880
License State
RI
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon M Lane?

The NPI number of Shannon M Lane is 1215283825. It was assigned on August 1, 2012 and is currently active in the NPPES registry.

What is the specialty of Shannon M Lane?

Shannon M Lane is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in RI under license number PTA 00880.

Where does Shannon M Lane practice?

The practice location is 195 Collyer St, Providence, RI 02904-1869. The office can be reached at 401-793-4080 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215283825 directly on the NPPES registry website.

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