Randall Keith Langley, RPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

RPT 655 Issued in ID

Practice address

457 S Fitness PL
Suite 100
Eagle, ID 83616-6568

Phone

(208) 939-3332

Fax

(208) 939-3338

NPI assigned

Oct 6, 2006

Last updated

Jul 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Physical Therapy PAGroup PAC ID 7719967744, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eagle Physical Therapy PA

  • Physical Therapist
  • Eagle, ID
  • NPI 1750478327
  Medicare reassignment Care Compare group NPD Authorized official
• Rebound Physical Therapy PC

  • Physical Therapist
  • Boise, ID
  • NPI 1891882486
  Medicare reassignment NPD Authorized official
• RS Physical Therapy PC

  dba Rebound Physical Therapy

  • Physical Therapist
  • Meridian, ID
  • NPI 1154969533
  Medicare reassignment NPD Authorized official
• Summit Physical Therapy

  • Physical Therapist
  • Star, ID
  • NPI 1871331702
  Medicare reassignment NPD Authorized official
• Restore Physical Therapy PC

  • Physical Therapist
  • Boise, ID
  • NPI 1790236511
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1598852139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 S FITNESS PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166568",
            "telephone_number": "208-939-3332",
            "fax_number": "208-939-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 S FITNESS PL",
            "address_2": "SUITE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166568",
            "telephone_number": "208-939-3332",
            "fax_number": "208-939-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "RANDALL",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "RPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT 655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650012139",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002779700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T4371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010009145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deena M Lajoie, RD, LD
• Logan Marsh Lamprecht, PH.D., LCPC, M. COUN
• Beth Elaine Landis, NP
• Sarah Mae Landry, MS, CCC-SLP
• Kimberly Anne Landsberg, MS, RDN, LD
• Federica Lanza, LCSW
• Caitlin Larkin
• Larkspur Integrative Health LLC
• Donald E Larson, D.M.D.
• Sean Michael Lawson

• Physical Therapist in Eagle, ID
• Providers in Eagle, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.