MR. CAMERON A LANE (DPT) – Physical Therapist, NPI 1477551935

MR. CAMERON A LANE (DPT) is a healthcare provider. based in Russellville, Arkansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT1836 (AR). The NPI Number for MR. CAMERON A LANE (DPT) is 1477551935

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. CAMERON A LANE (DPT)
NPI
1477551935
Phone
(479) 967-9657
Address
3016 W. MAIN STREET
Enumeration Date
8 July 2005
Last Update Date
1 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4799679657
Graduation Year
1995 (31 years ago)
PAC ID
5193610277
Group Practice PAC ID
1456246818
Professional Enrollment ID
I20110913000119
Address ID
AR728012453RU3016XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

835 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AR

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Provider Addresses for MR. CAMERON A LANE (DPT)

  • West Main Street, Ouitaville, Russellville, Pope County, Arkansas, 72801, United States

    SUITE 200

    RUSSELLVILLE, AR 728012453

    Phone: (479) 967-9657

    Fax: (479) 967-9658

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110913000119IPhysical Therapist In Private PracticeARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,596108$0
97530Therapy procedure using functional activities18253$0
97140Therapy procedure using manual technique, each 15 minutes12333$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care8524$0
97161Evaluation for physical therapy, typically 20 minutes7165$0
View full utilization report →

Insurance plans in this area (ZIP 72801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456246818View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeLA
Physical Therapist In Private PracticeAR
Physical Therapist In Private PracticeAR

Reviews

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Frequently asked questions

Can I use this page to confirm MR. CAMERON A LANE (DPT)'s NPI?
Yes. MR. CAMERON A LANE (DPT) is listed with NPI 1477551935 in the public NPI dataset.
Is MR. CAMERON A LANE (DPT) listed as active for patients and plans?
The listing shows MR. CAMERON A LANE (DPT) as active in the NPI system.
What taxonomy line describes MR. CAMERON A LANE (DPT)?
For research purposes, treat MR. CAMERON A LANE (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MR. CAMERON A LANE (DPT) on a map?
Expect Russellville, Arkansas as a primary anchor for MR. CAMERON A LANE (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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