Charese Rene Lande, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1037026 Issued in TX

Practice address

7905 Mesa Trails Cir
Healthcare
Austin, TX 78731-1446

Phone

(512) 769-8464

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sofia Wiltens LPT

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1235352436

  Physical Therapist

  NPD (past)
• Wellness Matters PC

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1568656403

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1063676922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 MESA TRAILS CIRCLE",
            "address_2": "HEALTHCARE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311730",
            "telephone_number": "512-769-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MESA TRAILS CIR",
            "address_2": "HEALTHCARE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311446",
            "telephone_number": "512-769-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDE",
        "first_name": "CHARESE",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1037026",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT025709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrie Lynn Land
• Christina Michelle Mendez Land, AU.D.
• Kami Colleen Land
• Lee Nathaniel Land, PH.D.
• Niki Lynn Land, M.S., CCC-SLP
• Hillary Erin Landers, CRNA
• Leonora Landers, DC
• Mary Landers, LCSW
• Melanie Anne Landers, N.D.
• Susan Landers, MD

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.