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

Jessica May Cantu-Lane, PTA

Individual provider Physical Therapy Assistant · NPI 1043510639

Jessica May Cantu-Lane, PTA is a Physical Therapy Assistant in Fairfax Station, Virginia. Licensed in Tennessee, Texas and Virginia. Registered with an NPI since 2010.

Licensed in
TN, TX, VA
In the registry since
2010
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5618H Ox Rd
Fairfax Station, VA 22039-1018
Phone: (703) 426-4949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2127726 (TX)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2306602886 (VA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 6393 (TN)

Record details

NPI number1043510639
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 28, 2010
Last updated in NPPESMarch 21, 2018

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