Active NPI
Charles Fred Lang Jr., LMT
- Massage Therapist
- Bryan, TX
National Provider Identifier
1558697219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT005888
- Practice address
- 4410 Colony Chase Dr
Bryan, TX 77808-7838 - Phone
- (832) 283-3300
- NPI assigned
- Oct 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT005888 | TX | Primary |
Addresses
Primary practice location
4410 Colony Chase Dr
Bryan, TX 77808-7838
Mailing address
PO Box 5519
Bryan, TX 77805-5519
Phone (832) 283-3300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT005888 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1558697219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5519",
"city": "BRYAN",
"state": "TX",
"postal_code": "778055519",
"telephone_number": "832-283-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 COLONY CHASE DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778087838",
"telephone_number": "832-283-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "CHARLES",
"middle_name": "FRED",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT005888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
- Kasey Golden Lamb, LMSW
- Alyssa Katherine Lambert, MD
- Kyndal Wallace Lambert
- Lampstand Health & Rehab of Bryan, LLC (Lampstand Health & Rehab of Bryan)
- Lampstand Nursing and Rehabilitation, LP
- Brant Christopher Langlinais, CRNA
- Elizabeth Lanier
- Ana Elise Larson, M.D.
- Laurel Care Inc. (Senior Helpers)
- Laurelle Family Health & Wellness Center PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.