Carissa Lane (NPI# 1336633973, PAC ID# 0547518946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1336633973 |
| PAC ID by PECOS | 0547518946 |
| Professional Enrollment ID | I20180801001383 |
| Full Name | Carissa Lane |
| Organization Legal Name | PROOF PHYSICAL THERAPY AND PERFORMANCE, LLC |
| Address |
460 N Switzer Canyon Dr Suite 400 Flagstaff AZ 86001-4851 |
| Phone Number | 9284403106 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2466736400 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 460 N Switzer Canyon Dr, Suite 400, Flagstaff, AZ 86001-4851 | 9284403106 | PROOF PHYSICAL THERAPY AND PERFORMANCE, LLC |
| Organization Legal Name | PROOF PHYSICAL THERAPY AND PERFORMANCE, LLC |
| Physicians | 1 |
| Street Address |
460 N SWITZER CANYON DR SUITE 400 |
| City | FLAGSTAFF |
| State | AZ |
| Zip | 86001-4851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan C Williams | Physical Therapy | 460 N Switzer Canyon Dr, Suite 400, Flagstaff, AZ 86001-4851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather K Boyle | Psychiatry | 1515 N San Francisco, Flagstaff, AZ 86001 | |
| Carrie J Monroy | Family Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Christine M Mcgregor | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Terry Smith | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Stephan Stellmacher | Internal Medicine | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Jessica K Newton | Physician Assistant | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Katherine E Sherman | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Rebecca Le Roy | Nurse Practitioner | Arizona Independent Medical Associates, Pllc | 3150 N Winding Brook Rd, Flagstaff, AZ 86001-0972 |
| Ari D Plosker | Diagnostic Radiology | Steward Medical Group Inc | 2520 N Eddy Dr, Flagstaff, AZ 86001-1000 |
| Teresa A Dunn | Clinical Social Worker | 21 W Pine Ave, Flagstaff, AZ 86001-1338 | |
| Find all physicians in zip 86001 | |||
| City | FLAGSTAFF |
| Zip Code | 86001 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FLAGSTAFF + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Carissa Lane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.