MRS. AMANDA DICKERSON LANE (NPI# 1720236490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720236490 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA DICKERSON LANE |
| Other Name | MISS AMANDA LEIGH DICKERSON |
| Credential | DPT |
| Practice Address |
3125 Independence Dr 300b Birmingham AL 35209 |
| Practice Telephone | 2058797501 |
| Practice Fax Number | 2058790675 |
| Mailing Telephone | 2058797501 |
| Mailing Fax Number | 2058790675 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2009-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PTH4985 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 23663 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE PTAN | 510I650199 | 01 |
| AL | PALMELTO DBA RAIL ROAD MEDICARE | DB3969 | 01 |
| AL | TRICARE SOUTH REG. | 55# | 01 |
| AL | BLUE CROSS | 51593961 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366836199 | Amanda Lane | Occupational Therapy Assistant | 2 Commercial Dr, Lakeville, MA 02347-3640 | 2015-03-18 |
| 1093914939 | Amanda J Lane | Physical Therapy Assistant | 7917 Ulster Dr, North Richland Hills, TX 76180-5519 | 2007-07-11 |
| 1336784586 | Amanda Lane | Nurse Practitioner | 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423-5523 | 2019-11-12 |
| 1265085328 | Amanda Nicole-marie Lane | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2019-07-18 |
| 1780248419 | Amanda Lane | Occupational Therapist | 500 S Cherry St, Waconia, MN 55387-4515 | 2019-04-29 |
| 1235546847 | Amanda Nicole Lane | Audiologist | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2014-07-15 |
| 1487064416 | Amanda Lane | Registered Nurse | 209 N Bells St, Alamo, TN 38001-1755 | 2014-04-29 |
| 1275978207 | Amanda E Lane | Family Medicine | 1138 Lexington Rd, Suite 130, Georgetown, KY 40324-9672 | 2013-05-03 |
| 1154612521 | Amanda Lane | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2011-04-20 |
| 1003013590 | Amanda Ruth Lane | Speech-Language Pathologist | 867 Mcguire Ave, Paducah, KY 42001-4036 | 2007-06-28 |
| Street Address |
3125 INDEPENDENCE DR 300B |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972575918 | Clara K Chung I | Specialist | 3125 Independence Dr, Suite 210, Birmingham, AL 35209-4159 | 2006-02-03 |
| 1710548946 | Rachel Vines | Physician Assistant | 3125 Independence Dr, Birmingham, AL 35209-4159 | 2019-06-27 |
| 1568850055 | Kareth Dow | Physical Therapist | 3125 Independence Dr, Ste 300b, Birmingham, AL 35209-4159 | 2015-01-06 |
| 1013261304 | Jason Cooper Grammer | Physical Therapist | 3125 Independence Dr, Suite 300b, Birmingham, AL 35209-4159 | 2012-11-08 |
| 1265786800 | Phillip J Moore | Physical Therapist | 3125 Independence Dr, Ste 300b, Birmingham, AL 35209 | 2012-11-05 |
| 1336495050 | Kevin N Coleman | Physical Therapist | 3125 Independence Dr, Ste 300b, Birmingham, AL 35209-4168 | 2012-07-31 |
| 1518254697 | Candace Brooke Graham | Physical Therapy Assistant | 3125 Independence Dr, 300 B, Birmingham, AL 35209-4159 | 2011-07-08 |
| 1942593579 | Fry Behavioral Health, P.C. | Psychologist | 3125 Independence Dr, Suite 307, Birmingham, AL 35209-4159 | 2011-05-16 |
| 1790084614 | Ryan M Babl | Physical Therapist | 3125 Independence Dr, 300b, Birmingham, AL 35209-4159 | 2011-03-17 |
| 1912227224 | Joseph Christopher Garrett | Physical Therapist | 3125 Independence Dr, 300b, Birmingham, AL 35209-4159 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837335 | Capacitylab LLC | Physical Therapist | 450a Century Park S Ste 104, Birmingham, AL 35226-3910 | 2020-10-02 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1093327306 | Victoria Held Fowler | Physical Therapist | 1808 Gadsden Hwy Ste 138, Birmingham, AL 35235-3206 | 2020-08-18 |
| 1538701487 | Robert Jackson | Physical Therapist | 3056 Healthy Way Ste 116, Birmingham, AL 35243-2435 | 2019-10-11 |
| 1992352314 | Leigh Ann Norris Tannler | Physical Therapist | 1006 Barristers Ct, Birmingham, AL 35242-5169 | 2019-08-20 |
| 1205307246 | Right On Time Physical Therapy LLC | Physical Therapist | 1529 Bessemer Rd Ste B, Birmingham, AL 35208-4016 | 2018-12-17 |
| 1184195133 | Naos Physical Therapy and Fitness | Physical Therapist | 2100a Southbridge Pkwy Ste 375, Birmingham, AL 35209-1375 | 2018-12-16 |
| 1912473414 | Rebecca Ann Bagley | Physical Therapist | 5018 Cahaba River Road, Birmingham, AL 35243-2317 | 2018-10-23 |
| 1790286862 | Jennifer Dillon | Physical Therapist | 855 Bennaville Ave, Birmingham, MI 48009-3668 | 2018-02-23 |
| 1114425568 | Emily Phillips | Physical Therapist | 1717 6th Avenue South Src 385, Birmingham, AL 35249-0001 | 2018-01-30 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.