Lane Physical Therapy Center, Inc
NPI 1104855261ActiveOrganization· Physical Therapist· Russellville, AR
Physical Therapist in Russellville, Arkansas, registered in NPPES in July 2006. The authorized official on file is Monica J. Crawford, Office Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104855261 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2006 |
| Last updated in NPPES | Aug 10, 2026 |
| Certified by provider | Aug 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
Other Physical Therapist providers in Russellville
- 1649261942
- 1619925732
- 1982894242
- 1891966347
- 1477837714
- 1083133532
- 1902804651
- 1366218331
- 1811274640
- 1881366573
- 1053319715
- 1316996663