Individual provider Active NPI

Clayton Austin Lange

  • Occupational Therapist
  • Cleveland, OH
National Provider Identifier
1679263479
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
20445 Emerald Pkwy Ste 150
Cleveland, OH 44135-6011
Phone
(440) 250-1840
NPI assigned
May 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

20445 Emerald Pkwy Ste 150
Cleveland, OH 44135-6011

Mailing address

20445 Emerald Pkwy Ste 150
Cleveland, OH 44135-6011
Phone (440) 250-1840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002139 OH Practitioner - Occupational Therapist in Private Practice 1658717772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Lafayette, LA 70505

PO Box
Suite 51266
Lafayette, LA 70505-1266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Senior Care Home Health of Ohio, LLC CurrentSince Jun 25, 2023 Accepting new patients
Ohio Physical Therapy Services of Mayfield Heights, LLC Occupational Therapist CurrentSince Jan 27, 2024 Accepting new patients
Innovative Senior Care Home Health of Ohio, LLC Occupational Therapist PastSince May 21, 2023 Accepting new patients

Locations

20445 Emerald Pkwy
Ste 150
Cleveland, OH 44135
Phone (440) 250-1840

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1679263479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 EMERALD PKWY STE 150",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441356011",
            "telephone_number": "440-250-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 EMERALD PKWY STE 150",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441356011",
            "telephone_number": "440-250-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "CLAYTON",
        "middle_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.