Keldyn Lang, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT292004 Issued in CA

Practice address

8805 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730-5149

Phone

(909) 912-1750

Fax

(909) 557-1732

NPI assigned

Nov 2, 2016

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake City Physical Therapy P a

  • Physical Therapist
  • Spokane, WA
  • NPI 1588810659
  NPD
• Lake City Physical Therapy P a

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1952521411
  NPD
• San Bernardino Medical Group Inc

  • Clinic/Center
  • San Bernardino, CA
  • NPI 1558331231
  NPD (past)

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1396297727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ORANGE TREE LN",
            "address_2": "SUITE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744589",
            "telephone_number": "909-557-1607",
            "fax_number": "909-557-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 HAVEN AVE",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305149",
            "telephone_number": "909-912-1750",
            "fax_number": "909-557-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "KELDYN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT292004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Landaverde
• Katherine Landayan
• Erica Landeros
• Stephania Landin
• Corey Landrum
• Evelyn Langarica
• Ashley Pacleb Langas
• Henriette Langdon, ED.D., H-CCC-SLP
• Davina Langevin
• Lani City Medical

• Orthopedic Physical Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.