Individual provider Active NPI

Ryan Langer, DPT

  • Physical Therapist
  • Vadnais Heights, MN
National Provider Identifier
1396482147
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12594 Issued in MN
Practice address
480 Highway 96 E Ste 120
Vadnais Heights, MN 55127-2557
Phone
(651) 482-8486
NPI assigned
May 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12594 MN Primary

Addresses

Primary practice location

480 Highway 96 E Ste 120
Vadnais Heights, MN 55127-2557

Mailing address

480 Highway 96 E Ste 120
Vadnais Heights, MN 55127-2557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615001226 MN Practitioner - Physical Therapist in Private Practice 7911386339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince May 6, 2022 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince May 6, 2022 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients

Locations

480 Osborne Rd NE
Ste 280
Fridley, MN 55432
Phone (763) 784-3155

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

480 Highway 96 E
Ste 120
Vadnais Heights, MN 55127
Phone (651) 330-5598

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1396482147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 96 E STE 120",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551272557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 96 E STE 120",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551272557",
            "telephone_number": "651-482-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGER",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.