Jeanine Langenbach, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

1829 Issued in AZ

Practice address

726 W. Aire Libre Ave
Phoenix, AZ 85023-7910

Phone

(602) 938-9839

Fax

(602) 938-9839

NPI assigned

Aug 26, 2005

Last updated

Nov 6, 2008By 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

Other identifiers 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Instruction for Developmental Services, LLC

  • Pediatric Physical Therapist
  • Phoenix, AZ
  • NPI 1558587683
  NPD (past) Authorized official
• Above & Beyond Therapy Services

  • Specialist
  • Queen Creek, AZ
  • NPI 1215252655
  NPD (past)
• Above & Beyond Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1124011812
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1174516868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 W. AIRE LIBRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237910",
            "telephone_number": "602-938-9839",
            "fax_number": "602-938-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 W. AIRE LIBRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237910",
            "telephone_number": "602-938-9839",
            "fax_number": "602-938-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENBACH",
        "first_name": "JEANINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007171346",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348509",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0460200",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Langan
• Nicole Orit Langbaum
• Carol Ann Langdon
• Carolyn Louise Langdon, N.N.P.
• Danielle Langel, LMSW
• Thaddeus Lee Langenwalter, PTA
• Corey Langerud
• Carolyn Marie Langford, CCC SLP
• Sydney Jane Langford, PA-C
• Dylan Langland

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.