Active NPI
Lange Sports Medicine and Physical Therapy
- Physical Therapy Clinic/Center
- North Hollywood, CA
National Provider Identifier
1619779618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- LANGE SPORTS MEDICINE AND PHYSICAL THERAPY
- Practice address
- 4444 Lankershim Blvd Ste 108
North Hollywood, CA 91602-2346 - Phone
- (630) 749-7772
- NPI assigned
- Mar 27, 2025
- Last updated
- Apr 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dylan Lange, PT, DPT
- Title
- Doctor of Physical Therapy/Owner
- Phone
- (630) 723-9949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
4444 Lankershim Blvd Ste 108
North Hollywood, CA 91602-2346
Mailing address
12605 Ventura Blvd # 1075
Studio City, CA 91604-2415
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- North Hollywood, CA
- NPI 1659019941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1619779618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 VENTURA BLVD # 1075",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 LANKERSHIM BLVD STE 108",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916022346",
"telephone_number": "630-749-7772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANGE SPORTS MEDICINE AND PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-27",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "LANGE",
"authorized_official_first_name": "DYLAN",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/OWNER",
"authorized_official_telephone_number": "630-723-9949",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.