Individual provider Active NPI

Monica L. Lang, DPT

  • Physical Therapist
  • Mandan, ND
National Provider Identifier
1164709804
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1720 Issued in ND
Practice address
2004 Twin City Dr
Mandan, ND 58554-3820
Phone
(701) 667-0745
Fax
(701) 667-0707
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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 1720 ND Primary

Addresses

Primary practice location

2004 Twin City Dr
Mandan, ND 58554-3820

Mailing address

2004 Twin City Dr
Mandan, ND 58554-3820
Phone (701) 667-0745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000037 ND Practitioner - Physical Therapist in Private Practice 7214103241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Physical Therapy P CGroup PAC ID 6002803566, 7 clinicians

Practice addresses (Care Compare)

606 1St St NW
Mandan, ND 58554-3121
Phone (701) 667-0745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1720NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Physical Therapy, P C CurrentSince Nov 8, 2011 Accepting new patients
Dakota Physical Therapy P C Physical Therapist Current Accepting new patients

Locations

606 1st St NW
Mandan, ND 58554
Phone (701) 667-0745

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": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1164709804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 TWIN CITY DR",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543820",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 TWIN CITY DR",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543820",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "MONICA",
        "middle_name": "L.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.