Individual provider Active NPI

Neil M Langridge

  • Physical Therapy Assistant
  • Roseville, CA
National Provider Identifier
1255639746
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT4638 Issued in CA
Practice address
5131 Foothills Blvd Ste 5
Roseville, CA 95747-6527
Phone
(916) 797-2273
Fax
(916) 797-8599
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT4638 CA Primary

Addresses

Primary practice location

5131 Foothills Blvd Ste 5
Roseville, CA 95747-6527

Mailing address

5131 Foothills Blvd Ste 5
Roseville, CA 95747-6527
Phone (916) 797-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT4638CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1255639746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 FOOTHILLS BLVD STE 5",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476527",
            "telephone_number": "916-797-2273",
            "fax_number": "916-797-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 FOOTHILLS BLVD STE 5",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957476527",
            "telephone_number": "916-797-2273",
            "fax_number": "916-797-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGRIDGE",
        "first_name": "NEIL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.