Jessica Lane, | |
400 Attain St Ste 102, Fuquay Varina, NC 27526-2702 | |
(919) 754-4111 | |
Not Available |
Full Name | Jessica Lane |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 400 Attain St Ste 102, Fuquay Varina, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154029320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130807000042 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lane, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 558-0076 | Jessica Lane, 400 Attain St Ste 102, Fuquay Varina, NC 27526-2702 Ph: (919) 754-4111 |
Iron Varsity, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5132 Doughtymews Ln, Fuquay Varina, NC 27526 Phone: 831-524-2966 | |
Dr. Colton Owczarzak, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5132 Doughtymews Ln, Fuquay Varina, NC 27526 Phone: 831-524-2966 | |
Danielle M Larson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 N Main St, Fuquay Varina, NC 27526 Phone: 919-557-2111 Fax: 919-557-5543 | |
Saejin Kim, PT, DPT, CLT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1927 Whakatane Ln, Fuquay Varina, NC 27526 Phone: 310-850-6043 | |
Hands On Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1439 N Main St, Fuquay Varina, NC 27526 Phone: 919-557-2111 Fax: 919-557-5543 | |
Sunyoung Kim, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7608 Purfoy Rd, Fuquay Varina, NC 27526 Phone: 919-220-5255 |