Active NPI
Lang Mitchell Dac Ho, DPT
- Physical Therapist
- Burnsville, MN
National Provider Identifier
1457735797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4130
- Practice address
- 14101 Fairview Dr
Suite 300
Burnsville, MN 55337-4590 - Phone
- (952) 892-2650
- Fax
- (952) 892-2654
- NPI assigned
- Jul 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4130 | MN | Primary |
Addresses
Primary practice location
14101 Fairview Dr
Suite 300
Burnsville, MN 55337-4590
Mailing address
14101 Fairview Dr
Suite 300
Burnsville, MN 55337-4590
Phone (952) 892-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4130 | MN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1457735797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14101 FAIRVIEW DR",
"address_2": "SUITE 300",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374590",
"telephone_number": "952-892-2650",
"fax_number": "952-892-2654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14101 FAIRVIEW DR",
"address_2": "SUITE 300",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374590",
"telephone_number": "952-892-2650",
"fax_number": "952-892-2654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "LANG",
"middle_name": "MITCHELL DAC",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.