Jessica May Cantu-Lane, PTA
NPI 1043510639ActiveIndividual· Physical Therapy Assistant· Fairfax Station, VA
Physical Therapy Assistant (PTA) in Fairfax Station, Virginia, licensed in TX, VA and TN, with an NPI issued in October 2010.
Overview
| NPI | 1043510639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Oct 28, 2010 |
| Last updated in NPPES | Mar 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2127726 | TX |
| Physical Therapy Assistant | 225200000X | 2306602886 | VA |
| Physical Therapy Assistant | 225200000X | 6393 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Fairfax Station
- 1760759955