NPIMap

Individual provider Active NPI

Peggy Lee Langley, P.T., C.H.T

  • Hand Physical Therapist
  • Glendale, AZ
National Provider Identifier
1780640045
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
1294 Issued in AZ
Practice address
17100 N 67TH Ave
BLDG #100
Glendale, AZ 85308-3605
Phone
(623) 979-2747
Fax
(623) 979-3122
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 1294 AZ Primary

Addresses

Primary practice location

17100 N 67TH Ave
BLDG #100
Glendale, AZ 85308-3605

Mailing address

20118 N 67TH Ave
#300-465
Glendale, AZ 85308-4621
Phone (623) 979-2747

Other identifiers 2

IdentifierTypeStateIssuer
Z81210OtherAZMEDICARE
852790OtherAZACCHS

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

LicenseStateTypeSpecialty
1294AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Sports Medicine & Rehabilitation- Tatum, Inc. CurrentSince Sep 4, 2012 Accepting new patients
Northcutt Physical Therapy PLLC Past Accepting new patients
Aris Health Corportation PastSince Oct 28, 2005 Accepting new patients
Therasport LLC Past Accepting new patients

Locations

16421 N Tatum Blvd
#208
Phoenix, AZ 85032
Phone (602) 923-6600

4550 E Bell Rd
Ste 270
Phoenix, AZ 85032
Phone (602) 424-0494

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

Organizations & group practices 4

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1780640045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20118 N 67TH AVE",
            "address_2": "#300-465",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084621",
            "telephone_number": "623-979-2747",
            "fax_number": "623-979-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE",
            "address_2": "BLDG #100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083605",
            "telephone_number": "623-979-2747",
            "fax_number": "623-979-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "PEGGY",
        "middle_name": "LEE",
        "credential": "P.T., C.H.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "AZ",
            "license": "1294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z81210",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCHS",
            "identifier": "852790",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.