Individual provider Active NPI

Dylan Lange, DPT, CSCS

  • Physical Therapist
  • North Hollywood, CA
National Provider Identifier
1659019941
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4444 Lankershim Blvd Ste 108
North Hollywood, CA 91602-2346
Phone
(630) 749-7772
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 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
Phone (630) 749-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812002174 CA Practitioner - Physical Therapist in Private Practice 0244613958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lange Sports Medicine and Physical Therapy Current Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Matrix Physical Therapy and Wellness, PC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

2730 Wilshire Blvd
Ste 105
Santa Monica, CA 90403
Phone (310) 310-2931

12605 Ventura Blvd
Studio City, CA 91604
Phone (415) 579-1694

4444 Lankershim Blvd
Ste 108
Toluca Lake, CA 91602
Phone (630) 749-7772

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1659019941",
    "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",
            "telephone_number": "630-749-7772"
        },
        {
            "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": {
        "last_name": "LANGE",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "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.
  • 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.