Individual provider Active NPI

Daniel Richard Lang, P.T.,A.T.C

  • Orthopedic Physical Therapist
  • Hazel Crest, IL
National Provider Identifier
1346357126
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070016989 Issued in IL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20090324000408 IL Practitioner - Physical Therapist in Private Practice 0244397990 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
096-002174ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Oct 27, 2025 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 30, 2023 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Orthopedic CurrentSince Sep 30, 2023 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Oct 27, 2025 Accepting new patients
Daniel T Weber MD SC PastSince Mar 12, 2024 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.

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.

Verify at the official NPI Registry.