CARISSA LANE DPT
NPI 1336633973
Physical Therapist in St Augustine, FL

Active since June 18, 2018Accepts Medicare Assignment
105 MARINER HEALTH WAY STE 213, ST AUGUSTINE, FL 32086(904) 217-4259(904) 217-4251 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2021, Jun 18, 2018 (2 updates tracked since 2018).

About Carissa Lane Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA LANE DPT (NPI 1336633973) is an individual physical therapist in St Augustine, Florida, licensed in Florida (PT36674) and active in the NPI registry since June 2018. She maintains a secondary practice location in Flagstaff and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336633973
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCARISSA LANECredential: DPT
Location Address105 MARINER HEALTH WAY STE 213St Augustine, FL 32086-3251
Mailing Address105 Mariner Health Way Ste 213St Augustine, FL 32086-3251 · (904) 217-4259 · Fax (904) 217-4251
Fax(904) 217-4251
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 18, 2018
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1336633973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in FL · PT36674 Licensed in AZ · 13019
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

105 MARINER HEALTH WAY STE 213, St Augustine, FL 32086

Secondary Practice Location 1

Location 1460 N Switzer Canyon Dr Ste 400Flagstaff, AZ 86001-4851 · Phone (928) 440-3106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carissa Lane Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547518946
PECOS Enrollment IDI20201222001713

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Occupational Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336633973, enumerated as an "individual" on June 18, 2018.

The provider is located at 105 MARINER HEALTH WAY STE 213 ST AUGUSTINE, FL 32086 and the phone number is (904) 217-4259.

Physical Therapist with taxonomy code 225100000X.