Individual provider Active NPI

Addison Lang

  • Physical Therapist
  • Hampton, VA
National Provider Identifier
1700517521
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215115 Issued in VA
Practice address
9 Manhattan SQ Ste B
Hampton, VA 23666-6263
Phone
(757) 825-3400
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 2305215115 VA Primary

Addresses

Primary practice location

9 Manhattan SQ Ste B
Hampton, VA 23666-6263

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20221014000151 VA Practitioner - Physical Therapist in Private Practice 5294101390 Reassigns benefits to 2 organizations
I20231211003461 DC Practitioner - Physical Therapist in Private Practice 5294101390 Reassigns benefits to 2 organizations
I20231211003485 MD Practitioner - Physical Therapist in Private Practice 5294101390 Reassigns benefits to 1 organization
I20240418002483 MO Practitioner - Physical Therapist in Private Practice 5294101390 Reassigns benefits to 1 organization

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
Professional Sportscare and Rehab LLCGroup PAC ID 9335137363, 103 clinicians

Practice addresses (Care Compare)

1600 Wilson Blvd
Suite 102
Arlington, VA 22209-2505
Phone (703) 935-1996

3801 Fairfax Dr
Suite 11
Arlington, VA 22203-1762
Phone (703) 522-1060

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
88.48 of 100Reported as group
Quality
86.04
Promoting interoperability
99
Improvement activities
40
Cost
76.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29676MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

2937 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 961-3804

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3801 Fairfax Dr
Ste 11
Arlington, VA 22203
Phone (703) 522-1060

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

9 Manhattan Sq
Ste B
Hampton, VA 23666
Phone (757) 284-3997

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

Interoperability endpoints

  • Direct secure messaging: addison.lang.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 8

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1700517521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-373-2919",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MANHATTAN SQ STE B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666263",
            "telephone_number": "757-825-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "ADDISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.