Active NPI
Kimberly Lange, DC CCSP
- Sports Physician Chiropractor
- Northampton, MA
National Provider Identifier
1649202854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2720
- Practice address
- 300 Pleasant St Ste 2
Northampton, MA 01060-3917 - Phone
- (413) 582-9889
- Fax
- (413) 582-9886
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2720 | MA | Primary |
Addresses
Primary practice location
300 Pleasant St Ste 2
Northampton, MA 01060-3917
Mailing address
300 Pleasant St Ste 2
Northampton, MA 01060-3917
Phone (413) 582-9889
Other practice location 1
40 School St Ste 5
Greenfield, MA 01301-2436
Phone (413) 774-7501
Other practice location 2
141 Damon Rd
Suite I
Northhampton, MA 01060
Phone (413) 582-9889
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 |
|---|---|---|---|
| 2720 | MA | MD | Physical Therapist |
| 4709 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lange Chiropractic | Sports Physician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Northampton, MA
- NPI 1851713671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649202854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PLEASANT ST STE 2",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603917",
"telephone_number": "413-582-9889",
"fax_number": "413-582-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PLEASANT ST STE 2",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603917",
"telephone_number": "413-582-9889",
"fax_number": "413-582-9886"
}
],
"practiceLocations": [
{
"address_1": "40 School St Ste 5",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "MA",
"postal_code": "013012436",
"country_code": "US",
"telephone_number": "413-774-7501",
"fax_number": "413-773-8191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Damon Rd",
"address_2": "Suite I",
"address_purpose": "LOCATION",
"city": "Northhampton",
"state": "MA",
"postal_code": "01060",
"country_code": "US",
"telephone_number": "413-582-9889",
"fax_number": "413-582-9886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGE",
"first_name": "KIMBERLY",
"name_prefix": "Dr.",
"credential": "DC CCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MA",
"license": "2720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.