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

Jacob Lane

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1447092358

Jacob Lane is a Physical Therapist in Private Practice in Durham, North Carolina. Graduated from University of Florida College of Medicine in 2024, 2 years ago. Practices with Bull City Physical Therapy, a 10-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Trained at
University of Florida College of Medicine
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

1019 Broad St
Durham, NC 27705-4143
Phone: (919) 797-9588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence P23269 (NC)

Record details

NPI number1447092358
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 5, 2024
Mailing address5914 Woodlawn Drive, Durham, NC 27703

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Bull City Physical Therapy — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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