Active NPI
Alice Jean Lange, LMT
- Massage Therapist
- Palm Harbor, FL
National Provider Identifier
1669798039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA33729
- Practice address
- 291 Brookside CT
Palm Harbor, FL 34683-5352 - Phone
- (727) 485-3737
- NPI assigned
- Apr 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA33729 | FL | Primary |
Addresses
Primary practice location
291 Brookside CT
Palm Harbor, FL 34683-5352
Mailing address
28960 US Highway 19 N
Suite 104
Clearwater, FL 33761-2403
Phone (727) 485-3737
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA33729 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1669798039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28960 US HIGHWAY 19 N",
"address_2": "SUITE 104",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612403",
"telephone_number": "727-485-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 BROOKSIDE CT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835352",
"telephone_number": "727-485-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "ALICE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-10",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA33729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.