Active NPI
Rebecca Lange, LMT
- Massage Therapist
- Haughton, LA
National Provider Identifier
1861215006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10165
- Practice address
- 63 Sterling Ranch Rd S
Haughton, LA 71037-8546 - Phone
- (318) 572-9164
- NPI assigned
- Nov 6, 2024
- Last updated
- Nov 6, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10165 | LA | Primary |
Addresses
Primary practice location
63 Sterling Ranch Rd S
Haughton, LA 71037-8546
Mailing address
63 Sterling Ranch Rd S
Haughton, LA 71037-8546
Phone (318) 572-9164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10165 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1861215006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 STERLING RANCH RD S",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710378546",
"telephone_number": "318-572-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 STERLING RANCH RD S",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710378546",
"telephone_number": "318-572-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "REBECCA",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "10165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haughton, LA
- Brooklyn Deas Josey, MCD, CCC-SLP
- Kin Hood MD and Willis-Knighton Medical Center
- Kelli King, LPC
- Jashonda Atkins Knighton
- Suzanne Prim Lancaster
- Thomas G. Latiolais, MD
- Jenny Ann Lewis, PT
- Life Investment Group, LLC (Calvary Counseling Center)
- Sierra Ann Havrilla Liotta, M.ED. CCC-SLP
- Stephanie Dawson Little
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.