Lisa Ann Lange

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00393300 Issued in NJ

Practice address

705 E Moss Mill Rd
Galloway, NJ 08205

Phone

(609) 867-1585

NPI assigned

Oct 1, 2024

Last updated

Oct 1, 2024By 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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Saddle River, NJ
  • NPI 1689022295
  Medicare reassignment NPD
• Link Home Services of NJ LLC

  • Physical Therapy Clinic/Center
  • Englewood Cliffs, NJ
  • NPI 1972072585
  Medicare reassignment NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1174341929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MOSS MILL RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-867-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MOSS MILL RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-867-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00393300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaili Koontz, OTD
• Elliott M Kraus, MD
• Tricia Ann Kropilak, APN
• Borys Krynyckyi, MD
• Ladies Choice Obstetrics & Gynecology PC
• Mark Jay Langweiler, DC
• Ellen Law
• Adam C. Lee, PT, DPT
• Jacob S Lee, MD
• Turkessa Lynn Lee, LCSW

• Physical Therapist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.