Legend Physical Therapy of Ballinger, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LEGEND PHYSICAL THERAPY OF BALLINGER, LLC

Practice address

408 Hutchins Ave
Ballinger, TX 76821

Phone

(325) 234-6733

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Johanna M Lange, PT, DPTNPI 1427440965

Title

Owner/Operator

Phone

(325) 234-6733

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johanna Marie Lange, PT, DPT, CSCS

  • Physical Therapist
  • Ballinger, TX
  • NPI 1427440965
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1295433126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 US HIGHWAY 67",
            "city": "MILES",
            "state": "TX",
            "postal_code": "768616700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 HUTCHINS AVE",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "76821",
            "telephone_number": "325-234-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND PHYSICAL THERAPY OF BALLINGER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "325-234-6733",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Sherrell Jackson Lange
• Kendra Jones, PTA
• Killough Enterprises, Inc
• Danny R Killough Jr., CH
• Johanna Marie Lange, PT, DPT, CSCS
• Paul Mitchell Linden, MD
• Kerry L Lockett, M.D.
• Jimmie D. Lummus, DPM
• Dang Nguyen, PHARMD
• Norval D. Meredith

• Physical Therapist in Ballinger, TX
• Providers in Ballinger, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.