Active NPI
Kerri A Lang, MSPT
- Physical Therapist
- Stoneham, MA
National Provider Identifier
1629137930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10393
- Practice address
- 245 North St
Stoneham, MA 02180-2109 - Phone
- (781) 438-7221
- Fax
- (781) 438-7208
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10393 | MA | Primary |
Addresses
Primary practice location
245 North St
Stoneham, MA 02180-2109
Mailing address
3 Blueberry Way
Peabody, MA 01960-4941
Phone (781) 696-1024
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616931 | Other | MA | HARVARD PILGRIM HEALTH |
| Y68559 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0403087537 | Other | MA | PRIVATE |
| 470211 | Other | MA | TUFTS HEALTH PLAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10393 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629137930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BLUEBERRY WAY",
"city": "PEABODY",
"state": "MA",
"postal_code": "019604941",
"telephone_number": "781-696-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 NORTH ST",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021802109",
"telephone_number": "781-438-7221",
"fax_number": "781-438-7208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "KERRI",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "616931",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y68559",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "0403087537",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "470211",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.