What is Jack Lane's NPI number?

Jack Lane's National Provider Identifier (NPI) is 1275902520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Lane's specialty?

Jack Lane is listed in the NPPES registry with a primary specialty of Skilled Nursing Facility (Nursing & Custodial Care Facilities).

Where is Jack Lane located?

Jack Lane's practice location on file with NPPES is 615 29th St, Lewiston, ID 83501-3341.

What is Jack Lane's phone number?

The practice phone number listed in the NPPES registry for Jack Lane is (208) 985-4722.

Is Jack Lane's NPI active?

Yes — Jack Lane's NPI (1275902520) is active in the NPPES registry as of the last update on 2015-09-16.

IndividualActive

Jack Lane, PTA

NPI 1275902520 · Skilled Nursing Facility · Lewiston, ID

Jack Lane, PTA is a Skilled Nursing Facility provider in Lewiston, ID (NPI 1275902520).

Provider details

NPI number: 1275902520
Entity type: Individual
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Credential: PTA
Sex: Male
Sole proprietor: Yes
License: PTA-3672 (ID)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense PTA-3672 (ID)
Nursing & Custodial Care Facilities

Profile Score

Established profile(73/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

615 29th St

Lewiston, ID 83501-3341

Phone: (208) 985-4722

Street-level locationGet directions

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Mailing address