Tandra Love Langford, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1136232 Issued in TX

Practice address

5950 Bryant Irvin Rd
#100
Fort Worth, TX 76132-4210

Phone

(817) 294-4646

Fax

(817) 294-4649

NPI assigned

Aug 15, 2005

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Tandra Love Brillhart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cooper & Bush Physical Therapy LLC

  • Physical Therapist
  • Benbrook, TX
  • NPI 1841220068
  NPD (past)
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1962494104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 BRYANT IRVIN RD",
            "address_2": "#100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324210",
            "telephone_number": "817-294-4646",
            "fax_number": "817-294-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 BRYANT IRVIN RD",
            "address_2": "#100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324210",
            "telephone_number": "817-294-4646",
            "fax_number": "817-294-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "TANDRA",
        "middle_name": "LOVE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1136232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062865301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T0363",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANDRA",
            "last_name": "BRILLHART",
            "middle_name": "LOVE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Rena Lang, LMSW
• Lori P. Lang, OTR
• Audrey Langdale, OTR
• Susan Arnold Lange, PH. D.
• Andrew Nathan Langford, PMHNP
• Langham Chiropractic Enterprises, PA (NorthStar Chiropractic and Wellness Center)
• April C Langham, D.C.
• Charles G Langham III, M.D.
• Donald Andrew Langley, DO
• Hunter Price Langley, FNP - BC

• Physical Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.