Individual provider Active NPI

Kristin M Lang, MSPT

  • Physical Therapist
  • Wheat Ridge, CO
National Provider Identifier
1811196421
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4770 Issued in CO
Practice address
11800 W 49TH Ave
Wheat Ridge, CO 80033-2176
Phone
(303) 463-1382
Fax
(303) 423-1609
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4770 CO Primary

Addresses

Primary practice location

11800 W 49TH Ave
Wheat Ridge, CO 80033-2176

Mailing address

7733 Forsyth Blvd
Suite 2300
Saint Louis, MO 63105-1817
Phone (800) 677-1202

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

State licenses

LicenseStateTypeSpecialty
4770COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1811196421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 FORSYTH BLVD",
            "address_2": "SUITE 2300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051817",
            "telephone_number": "800-677-1202",
            "fax_number": "303-455-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 W 49TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332176",
            "telephone_number": "303-463-1382",
            "fax_number": "303-423-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.