Individual provider Active NPI

Holly Rand Lang

  • Orthopedic Physical Therapist
  • Beaumont, CA
National Provider Identifier
1801455092
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
1676 E 6TH St Ste C
Beaumont, CA 92223-5760
Phone
(951) 769-0300
NPI assigned
Jun 11, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

1676 E 6TH St Ste C
Beaumont, CA 92223-5760

Mailing address

1676 E 6TH St Ste C
Beaumont, CA 92223-5760

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Physical Therapy P a CurrentSince Nov 1, 2020 Accepting new patients
Lake City Physical Therapy P a CurrentSince Nov 1, 2020 Accepting new patients

Locations

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

8238 N Government Way
Hayden, ID 83835
Phone (208) 762-2100

6600 W Commercial Park Ave
Ste D
Rathdrum, ID 83858
Phone (208) 712-3634

Organizations & group practices 2

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1801455092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 E 6TH ST STE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1676 E 6TH ST STE C",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922235760",
            "telephone_number": "951-769-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "HOLLY",
        "middle_name": "RAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.