Active NPI
Thomas Richard Lange, MPT
- Physical Therapist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18592
- Practice address
- 9570 SW 107TH Ave
Suite 201C
Miami, FL 33176-2788 - Phone
- (954) 980-8364
- Fax
- (786) 542-1142
- NPI assigned
- Nov 14, 2013
- Last updated
- Dec 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18592 | FL | Primary |
Addresses
Primary practice location
9570 SW 107TH Ave
Suite 201C
Miami, FL 33176-2788
Mailing address
9570 SW 107TH Ave
Suite 201C
Miami, FL 33176-2788
Phone (954) 980-8364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7001 N Waterway Dr
Suite 107
Miami, FL 33155-2827
Phone (786) 542-9832
7811 Coral Way
Suite 132
Miami, FL 33155-6555
Phone (786) 294-0190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18592 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & G Behavioral Center Inc | Current | Accepting new patients | |
| Complete Medical of Florida Inc | Current | Accepting new patients | |
| Miami Lakes Doctor's LLC | Current | Accepting new patients | |
| Dolphin Rehab Center Inc | Current | Accepting new patients | |
| Dolphin Rehab Center | Current | Accepting new patients | |
| Waterway Med Group LLC | Current | Accepting new patients |
Locations
7001 N Waterway Dr
Ste 107
Miami, FL 33155
Phone (786) 542-9832
7309 W Flagler St
Miami, FL 33144
Phone (786) 703-1390
7811 SW 24th St
Ste 132
Miami, FL 33155
Phone (786) 294-0190
5757 NW 151st St
Miami Lakes, FL 33014
Phone (786) 299-6333
1414 NW 107th Ave
Ste 102
Sweetwater, FL 33172
Phone (305) 779-4390
Organizations & group practices 7
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.
-
- General Practice Physician
- Miami, FL
- NPI 1538307954
-
- Family Medicine Physician
- Miami, FL
- NPI 1952027104
-
- Rehabilitation Clinic/Center
- Sweetwater, FL
- NPI 1750661948
-
- Clinic/Center
- Miami, FL
- NPI 1306488036
-
- Internal Medicine Physician
- Miami Lakes, FL
- NPI 1619588324
-
- Physical Therapy Clinic/Center
- Miami, FL
- NPI 1306380217
-
- Community/Behavioral Health Agency
- Sweetwater, FL
- NPI 1831865328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1952731762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 SW 107TH AVE",
"address_2": "SUITE 201C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762788",
"telephone_number": "954-980-8364",
"fax_number": "786-542-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 SW 107TH AVE",
"address_2": "SUITE 201C",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762788",
"telephone_number": "954-980-8364",
"fax_number": "786-542-1142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.