Individual provider Active NPI

Theodore Langer

  • Physical Therapist
  • Ardsley, NY
National Provider Identifier
1144551045
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019198-1 Issued in NY
Practice address
1 Bridge St
Ardsley, NY 10502-2136
Phone
(914) 693-8787
Fax
(914) 693-8525
NPI assigned
Jan 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019198-1 NY Primary

Addresses

Primary practice location

1 Bridge St
Ardsley, NY 10502-2136

Mailing address

174 Grand St
White Plains, NY 10601-4803
Phone (914) 328-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000237 NY Practitioner - Physical Therapist in Private Practice 2466640362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Marquette University School of Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Services LLCGroup PAC ID 1355395179, 226 clinicians

Practice addresses (Care Compare)

1844 2ND Ave
New York, NY 10128-3862
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019198-1NYMDPhysical Therapist
019198NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New York Physical Therapy and Chiropractic PLLC Physical Therapist CurrentSince Sep 17, 2015 Accepting new patients
Fox Rehabilitation Physical Therapy Services LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients

Locations

2444 Walton Ave
Bronx, NY 10468
Phone (718) 220-8293

741 E 233rd St
Bronx, NY 10466
Phone (718) 405-0205

1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1144551045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 GRAND ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014803",
            "telephone_number": "914-328-8077",
            "fax_number": "914-328-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022136",
            "telephone_number": "914-693-8787",
            "fax_number": "914-693-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGER",
        "first_name": "THEODORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-18",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019198-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.