Active NPI
Mary Lange, LMT
- Massage Therapist
- Centerville, OH
National Provider Identifier
1740155621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 145 S Main St
Centerville, OH 45458-2387 - Phone
- (937) 433-4800
- Fax
- (937) 433-1694
- NPI assigned
- Oct 9, 2025
- Last updated
- Oct 9, 2025
- 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 | NU | Primary |
Addresses
Primary practice location
145 S Main St
Centerville, OH 45458-2387
Mailing address
613 Residenz Pkwy Apt D
Kettering, OH 45429-6298
Phone (937) 239-7800
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerville Chiropractic I | Current | Accepting new patients |
Locations
145 S Main St
Centerville, OH 45458
Phone (937) 433-4800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1740155621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 RESIDENZ PKWY APT D",
"city": "KETTERING",
"state": "OH",
"postal_code": "454296298",
"telephone_number": "937-239-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 S MAIN ST",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454582387",
"telephone_number": "937-433-4800",
"fax_number": "937-433-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.