Individual provider Active NPI

Mariah Anne Langfield

  • Physical Therapy Assistant
  • West Allis, WI
National Provider Identifier
1255904181
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3192-19 Issued in WI
Practice address
1820 S 75TH St
West Allis, WI 53214-5709
Phone
(414) 774-4411
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 3192-19 WI Primary

Addresses

Primary practice location

1820 S 75TH St
West Allis, WI 53214-5709

Mailing address

1820 S 75TH St
West Allis, WI 53214-5709
Phone (414) 774-4411

Other practice location 1

N166W19521 Pheasant Ln
Jackson, WI 53037-9584
Phone (414) 708-2562

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

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1255904181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S 75TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145709",
            "telephone_number": "414-774-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S 75TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145709",
            "telephone_number": "414-774-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N166W19521 Pheasant Ln",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WI",
            "postal_code": "530379584",
            "country_code": "US",
            "telephone_number": "414-708-2562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGFIELD",
        "first_name": "MARIAH",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "3192-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.