Active NPI
Mary Lou Langford, PT
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1487664132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 212
- Practice address
- 4400 Lead Ave SE
Albuquerque, NM 87108-2844 - Phone
- (505) 266-3655
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 212 | NM | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 212 | NM |
Addresses
Primary practice location
4400 Lead Ave SE
Albuquerque, NM 87108-2844
Mailing address
1700 Lafayette Dr NE
Albuquerque, NM 87106-1004
Phone (505) 259-2939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26785 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| NM00Q054 | Other | NM | BLUE CROSS BLUE SHIELD |
| B5268 | Medicaid | NM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1487664132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 LAFAYETTE DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061004",
"telephone_number": "505-259-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 LEAD AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871082844",
"telephone_number": "505-266-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGFORD",
"first_name": "MARY LOU",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "212",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NM",
"license": "212",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "26785",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM00Q054",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B5268",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.