Individual provider Active NPI

Gabriele H Langan, PT

  • Physical Therapist
  • Hartland, WI
National Provider Identifier
1548458524
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3848-024 Issued in WI
Practice address
600 Hartbrook Dr Ste 111
Hartland, WI 53029-1436
Phone
(262) 367-3110
Fax
(262) 367-3112
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 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 3848-024 WI Primary

Addresses

Primary practice location

600 Hartbrook Dr Ste 111
Hartland, WI 53029-1436

Mailing address

600 Hartbrook Dr Ste 111
Hartland, WI 53029-1436
Phone (262) 367-3110

Other identifiers 1

IdentifierTypeStateIssuer
3948-024OtherWIPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000533 WI Practitioner - Physical Therapist in Private Practice 2567453624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waukesha Physical Therapy ClinicGroup PAC ID 1052408689, 2 clinicians

Practice addresses (Care Compare)

600 Hartbrook Dr
Suite 111
Hartland, WI 53029-1436
Phone (262) 367-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3848-024WIMDPhysical Therapist
3948WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha Physical Therapy Clinic Physical Therapist CurrentSince Sep 1, 2012 Accepting new patients
Smart Clinic Limited Practice Physical Therapist PastSince Jul 1, 2006 Accepting new patients
Body in Balance Physical Therapy, LLC PastSince Jun 8, 2019 Accepting new patients

Locations

600 Hartbrook Dr
Ste 111
Hartland, WI 53029
Phone (262) 367-3110

21075 Swenson Dr
Ste 600
Waukesha, WI 53186
Phone (262) 798-8644

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1548458524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HARTBROOK DR STE 111",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291436",
            "telephone_number": "262-367-3110",
            "fax_number": "262-367-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HARTBROOK DR STE 111",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291436",
            "telephone_number": "262-367-3110",
            "fax_number": "262-367-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGAN",
        "first_name": "GABRIELE",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3848-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "3948-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.