Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Lane, DPT

Individual provider Physical Therapist · NPI 1336633973

Carissa Lane, DPT is a Physical Therapist in Private Practice in St Augustine, Florida. Qualified in 2017, 9 years ago. Practices with Florida Luna Care Physical Therapy LLC, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Florida.

Years since qualifying
9
Licensed in
AZ, FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

105 Mariner Health Way Ste 213
St Augustine, FL 32086-3251
Phone: (904) 217-4259
Fax: (904) 217-4251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 460 N Switzer Canyon Dr Ste 400, Flagstaff, AZ 86001-4851 — (928) 440-3106

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT36674 (FL)
Physical Therapist Taxonomy 225100000X · Licence 13019 (AZ)

Record details

NPI number1336633973
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Luna Care Physical Therapy Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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