Organization Active NPI

Lange Sports Medicine and Physical Therapy

  • Physical Therapy Clinic/Center
  • North Hollywood, CA
National Provider Identifier
1619779618
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Dylan Lange, PT, DPTNPI 1659019941
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.