Individual provider Active NPI

Karl Joseph Lange, P.T.

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1407159643
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009270 Issued in WA
Practice address
12616 NE 119TH St
D7
Kirkland, WA 98034-4151
Phone
(520) 591-7117
NPI assigned
Dec 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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 PT00009270 WA Primary

Addresses

Primary practice location

12616 NE 119TH St
D7
Kirkland, WA 98034-4151

Mailing address

12616 NE 119TH St
D7
Kirkland, WA 98034-4151
Phone (520) 591-7117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220407002500 WA Practitioner - Physical Therapist in Private Practice 8325443831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Expert and Consulting LLCGroup PAC ID 5294839031, 6 clinicians
Physioworks Silverdale PLLCGroup PAC ID 3971908484, 7 clinicians

Practice addresses (Care Compare)

319 Washington Ave S
Kent, WA 98032-5767
Phone (253) 650-9780

9399 Ridgetop Blvd NW
Suite 101
Silverdale, WA 98383-8580
Phone (360) 900-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00009270WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physioworks Silverdale PLLC CurrentSince Apr 4, 2022 Accepting new patients
Rehab Expert & Consulting LLC Physical Therapist CurrentSince Apr 8, 2022 Accepting new patients

Locations

991 NE Riddell Rd
Bremerton, WA 98310
Phone (360) 373-2225

319 Washington Ave S
Kent, WA 98032
Phone (253) 650-9780

9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626

9399 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 516-1210

Organizations & group practices 2

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": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1407159643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12616 NE 119TH ST",
            "address_2": "D7",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344151",
            "telephone_number": "520-591-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12616 NE 119TH ST",
            "address_2": "D7",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344151",
            "telephone_number": "520-591-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KARL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.