Individual provider Active NPI

Timothy Dean Langbehn, CCP

  • Perfusionist
  • Fort Myers, FL
National Provider Identifier
1972408623
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
120 Issued in NE
Practice address
2250 McGregor Blvd Apt 3300
Fort Myers, FL 33901-3477
Phone
(888) 499-5672
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X 120 NE Primary

Addresses

Primary practice location

2250 McGregor Blvd Apt 3300
Fort Myers, FL 33901-3477

Mailing address

5728 N 209TH St
Elkhorn, NE 68022-5338
Phone (402) 639-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1972408623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 N 209TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225338",
            "telephone_number": "402-639-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MCGREGOR BLVD APT 3300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013477",
            "telephone_number": "888-499-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGBEHN",
        "first_name": "TIMOTHY",
        "middle_name": "DEAN",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "NE",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.