Active NPI
Jeff Lang
- Physical Therapist
- Beverly Hills, CA
National Provider Identifier
1740609635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19266
- Practice address
- 415 N Crescent Dr
Suite 130
Beverly Hills, CA 90210-4860 - Phone
- (310) 828-0101
- NPI assigned
- Apr 8, 2014
- 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 | PT19266 | CA | Primary |
Addresses
Primary practice location
415 N Crescent Dr
Suite 130
Beverly Hills, CA 90210-4860
Mailing address
920 Marco PL
Venice, CA 90291-3920
Phone (310) 828-0101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19266 | CA | MD | Counseling Psychologist |
| PT19266 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adi Rehab, Incorporated | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1104850197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1740609635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MARCO PL",
"city": "VENICE",
"state": "CA",
"postal_code": "902913920",
"telephone_number": "310-828-0101",
"fax_number": "310-828-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR",
"address_2": "SUITE 130",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104860",
"telephone_number": "310-828-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "JEFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT19266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Ronit Lami, MSC, PHD
- Lamo Medical, Inc., a Professional Corporation
- Lance Mixon MD a Professional Corporation
- Harold Allen Lancer, M.D., F.A.A.D
- Hastings Ford Lane, APRN, FNP
- Jennifer Lang, M.D.
- Wendy C. Lang, MFT
- Sara Langley, NP
- Todd H, Lanman, M.D., F.A.C.S.
- Lanny David Hajdu, M.D. a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.