Individual provider Active NPI

Kailey Elizabeth Lange, OTD, OTR/L

  • Occupational Therapist
  • Richmond Heights, OH
National Provider Identifier
1245046911
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT012068 Issued in OH
Practice address
261 Richmond Rd
Richmond Heights, OH 44143-4422
Phone
(440) 565-0008
Fax
(440) 565-0011
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT012068 OH Primary

Addresses

Primary practice location

261 Richmond Rd
Richmond Heights, OH 44143-4422

Mailing address

7650 Red Fox TRL
Hudson, OH 44236-1926
Phone (216) 407-4958

Other names 1

  • Kailey Francetic Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001730 OH Practitioner - Occupational Therapist in Private Practice 0446788095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7650 Red Fox TRL
Hudson, OH 44236-1926

PO Box
Lafayette, LA 70505

PO Box
Suite 51266
Lafayette, LA 70505-1266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT012068OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Physical Therapy Services of Mayfield Heights, LLC Occupational Therapist CurrentSince Dec 30, 2024 Accepting new patients

Organizations & group practices 1

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1245046911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 RED FOX TRL",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361926",
            "telephone_number": "216-407-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441434422",
            "telephone_number": "440-565-0008",
            "fax_number": "440-565-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KAILEY",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT012068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAILEY",
            "last_name": "FRANCETIC",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.