Christopher Bradley Lange, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PO000109 Issued in PA

Practice address

310 Taughannock Blvd Ste 1a
Ithaca, NY 14850-3251

Phone

(607) 277-6620

Fax

(607) 277-2533

NPI assigned

Feb 16, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1952166118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CEDAR LN",
            "city": "GROTON",
            "state": "NY",
            "postal_code": "130731311",
            "telephone_number": "607-330-2106",
            "fax_number": "607-333-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 TAUGHANNOCK BLVD STE 1A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503251",
            "telephone_number": "607-277-6620",
            "fax_number": "607-277-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "PA",
            "license": "OH000163",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "PA",
            "license": "PO000109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Landaeta, PT, DPT
• Paige Landes
• Jacqueline Ann Landolf, R.N.
• Emily Landuyt, M.S., TSSLD, CF
• Brenda Lane, NP
• Carolyn Faith Langer, DPT
• Lansing Medical Practice
• Barbara J Lantz, LCSW-R
• Rodger Joseph Lantz, PA-C
• Tiffany Roberts Lanza, APRN, CPNP-PC

• All providers in Ithaca, NY
• Prosthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.