Active NPI
Dylan Lange, DPT, CSCS
- Physical Therapist
- North Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lange Sports Medicine and Physical Therapy | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Matrix Physical Therapy and Wellness, PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Santa Monica, CA
- NPI 1790238418
Physical Therapist
-
- Physical Therapy Clinic/Center
- North Hollywood, CA
- NPI 1619779618
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.