Jason S Langford, MPT

Individual provider Active NPI Physical Therapist · Lansing, KS

NPI 1316957145 · NPPES record last updated Aug 27, 2014

Key facts

NPI
1316957145
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1103375 (KS)
Practice address
1004 Progress Dr
Suite 100
Lansing, KS 66043-6326
Phone
(913) 351-3838
Fax
(913) 351-3939
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
03375KSMDPsychologist
1103375KSMDPhysical Therapist
2014023790MOMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1103375 KS Yes
Physical Therapist 225100000X 2014023790 MO

Addresses

Primary practice location

1004 Progress Dr
Suite 100
Lansing, KS 66043-6326

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (816) 226-4011

Other identifiers

IdentifierTypeStateIssuer
MA4370086OtherMOMEDICARE PTAN
37252038OtherBCBS KC
KA2868037OtherKSMEDICARE PTAN
USES NPIOtherKSBCBS-KANSAS

Other providers in Lansing, KS

All providers in Lansing, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.