Shawna Lange, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102274 Issued in MN

Practice address

15620 Edgewood Dr Ste 240
Baxter, MN 56401-6984

Phone

(218) 454-7012

Fax

(218) 454-7015

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shawna Hein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Park Rapids Physical Therapy and Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Park Rapids, MN
  • NPI 1285706549
  NPD (past)
• Sanford Clinic North

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1548532468
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1790965663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237",
            "telephone_number": "605-541-1140",
            "fax_number": "605-541-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 EDGEWOOD DR STE 240",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564016984",
            "telephone_number": "218-454-7012",
            "fax_number": "218-454-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Main Ave S",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564701518",
            "country_code": "US",
            "telephone_number": "218-732-0868",
            "fax_number": "218-732-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "SHAWNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "246567",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683227000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNA",
            "last_name": "HEIN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lakes Country Counseling PLLC
• Lakes Dental Care PLC
• Lakes Region Retina PC
• Brittany Amber Lambert
• Michelle Erin Lamusga, MA, LPCC, LPC, LADC
• Allison Lauren Langhoff
• Zaius Langhoff
• Vicky Lynn Laplant, RN CNP
• Ronda Lapointe, M.S.W., LICSW
• Claire O'Neill Larson, PA-C

• All providers in Baxter, MN
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.