Carissa Lane, DPT
NPI 1336633973 · Physical Therapist · St Augustine, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carissa Lane, DPT is a Physical Therapist provider in St Augustine, FL (NPI 1336633973).
Provider details
- NPI number
- 1336633973
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT36674 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 460 N Switzer Canyon Dr Ste 400Flagstaff, AZ 86001-4851Phone: (928) 440-3106
Registry dates
- Enumerated
- 2018-06-18
- Last updated
- 2021-02-16
- Certified
- 2021-02-16
Frequently asked questions
- What is Carissa Lane's NPI number?
- Carissa Lane's National Provider Identifier (NPI) is 1336633973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carissa Lane's specialty?
- Carissa Lane is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Carissa Lane located?
- Carissa Lane's practice location on file with NPPES is 105 Mariner Health Way Ste 213, St Augustine, FL 32086-3251.
- What is Carissa Lane's phone number?
- The practice phone number listed in the NPPES registry for Carissa Lane is (904) 217-4259.
- Does Carissa Lane accept Medicare?
- Carissa Lane is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carissa Lane's NPI active?
- Yes — Carissa Lane's NPI (1336633973) is active in the NPPES registry as of the last update on 2021-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.