Michelle Lynn Lange, OTR/L, ABDA, ATP/SMS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

11785 W 56TH Dr
Arvada, CO 80002-1413

Phone

(720) 333-2661

Fax

(303) 456-5905

NPI assigned

Feb 12, 2007

Reactivated

Apr 1, 2019

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Jill Tullman & Associates, LLC

  • Speech-Language Pathologist
  • Centennial, CO
  • NPI 1902067812
  NPD
• Jill Tullman & Associates, LLC

  • Speech-Language Pathologist
  • Colorado Springs, CO
  • NPI 1194334169
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1093277089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11785 W 56TH DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021413",
            "telephone_number": "720-333-2661",
            "fax_number": "303-456-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 W 56TH DR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021413",
            "telephone_number": "720-333-2661",
            "fax_number": "303-456-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1093277089",
        "last_name": "LANGE",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "OTR/L, ABDA, ATP/SMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-04-01",
        "deactivation_date": "2019-03-26",
        "reactivation_date": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas S Lamas, LMT
• Tiffany Paige Land
• Justin Keith Landen, LPC
• Rebecca Marie Lane-Ramsey
• Kjersten Lane, RPH
• Zachery Langerak, PA
• Sierra Lanier
• Blanca Estela Lares-Nelson, DDS
• Lark Home Care Inc.
• Katherine Elizabeth Larson, OTR

• Occupational Therapist in Arvada, CO
• Providers in Arvada, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.