Individual provider Active NPI

Tanner Joseph Lange, DPT

  • Physical Therapist
  • Highlands Ranch, CO
National Provider Identifier
1477336402
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19312 Issued in CO
Practice address
1265 Sergeant Jon Stiles Dr
Suite D
Highlands Ranch, CO 80129
Phone
(303) 274-7332
Fax
(720) 497-6733
NPI assigned
Aug 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 19312 CO Primary

Addresses

Primary practice location

1265 Sergeant Jon Stiles Dr
Suite D
Highlands Ranch, CO 80129

Mailing address

1265 Sergeant Jon Stiles Dr
Suite D
Highlands Ranch, CO 80129
Phone (303) 274-7332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830001838 CO Practitioner - Physical Therapist in Private Practice 1254794860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1265 SGT Jon Stiles Dr
Unit D
Highlands Ranch, CO 80129-2266
Phone (303) 274-7332

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19312COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Aug 16, 2023 Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

1265 Sgt Jon Stiles Dr
Ste D
Highlands Ranch, CO 80129
Phone (303) 274-7332

1265 Sgt Jon Stiles Dr
Unit D
Highlands Ranch, CO 80129
Phone (303) 274-7332

Organizations & group practices 3

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1477336402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SERGEANT JON STILES DR",
            "address_2": "SUITE D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SERGEANT JON STILES DR",
            "address_2": "SUITE D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "TANNER",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "19312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.