Active NPI
Daniel Richard Lang, P.T.,A.T.C
- Orthopedic Physical Therapist
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070016989
- Practice address
- 1816 170TH St
Hazel Crest, IL 60429-1451 - Phone
- (708) 335-1415
- Fax
- (708) 335-4592
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070016989 | IL | Primary |
| Athletic Trainer | 2255A2300X | 096-002174 | IL |
Addresses
Primary practice location
1816 170TH St
Hazel Crest, IL 60429-1451
Mailing address
1816 170TH St
Hazel Crest, IL 60429-1451
Phone (708) 335-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11222 Lincoln Hwy
Mokena, IL 60448-8208
Phone (708) 326-0298
840 Willow Rd
Suite P
Northbrook, IL 60062-6823
Phone (224) 649-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096-002174 | IL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Orthopedic | Current | Accepting new patients |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Daniel T Weber MD SC | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
5057 Paysphere Cir
Chicago, IL 60674
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
19558 S Harlem Ave
Ste 4
Frankfort, IL 60423
Phone (815) 806-0019
1816 170th St
Hazel Crest, IL 60429
Phone (708) 335-1415
2 River Pl
Ste B
Lansing, IL 60438
Phone (708) 895-9860
11222 Lincoln Hwy
Mokena, IL 60448
Phone (708) 326-0298
840 Willow Rd
Ste P
Northbrook, IL 60062
Phone (224) 649-5600
9763 W 143rd St
Ste C
Orland Park, IL 60462
Phone (708) 226-1991
6850 Centennial Dr
Tinley Park, IL 60477
Phone (708) 429-3455
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
Orthopedic
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Durable Medical Equipment & Medical Supplies
- Tinley Park, IL
- NPI 1467638023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1346357126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 170TH ST",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291451",
"telephone_number": "708-335-1415",
"fax_number": "708-335-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 170TH ST",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604291451",
"telephone_number": "708-335-1415",
"fax_number": "708-335-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "DANIEL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "P.T.,A.T.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070016989",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096-002174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.