JENNIFER SUSAN LANGE (NPI# 1205492873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205492873 |
| Entity Type | Individual |
| Full Name | JENNIFER SUSAN LANGE |
| Credential | OTR/L |
| Practice Address |
5301 Creedmoor Rd Raleigh NC 27612-3822 |
| Mailing Address |
9204 Stafford Country Ln Kernersville NC 27284-3881 |
| Practice Telephone | 9196513983 |
| Mailing Telephone | 2039090818 |
| Enumeration Date | 2019-05-19 |
| Last Update Date | 2019-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 10896 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790806982 | Jennifer Marie Lange | Physical Therapy Assistant | 615 Hampshire Rd, Apt. #6, Dayton, OH 45419-4200 | 2007-04-03 |
| 1457831133 | Jennifer Elizabeth Lange | Speech-Language Pathologist | 1700 Thomas Paine Pkwy, Centerville, OH 45459-2541 | 2018-08-21 |
| 1417400490 | Jennifer L Lange | Nurse Practitioner | 2205 N Calhoun Rd, Brookfield, WI 53005 | 2016-07-26 |
| 1194198887 | Jennifer Lange | Pharmacist | 1751 Rock Prairie Rd, College Station, TX 77845-5917 | 2015-11-04 |
| 1811398985 | Jennifer Lange | Social Worker | 447 W Bearcat Dr, Salt Lake City, UT 84115-2519 | 2014-09-09 |
| 1649618745 | Jennifer L Lange | Physical Therapist | 400 S Randall Rd, Suite G, Elgin, IL 60123-4607 | 2013-06-11 |
| 1841317674 | Jennifer Nicole Lange | Marriage & Family Therapist | 609 Oak St, Roseville, CA 95678-3245 | 2007-03-25 |
| 1811052160 | Jennifer Travis Lange | Psychiatry & Neurology | Blanchfield Army Community Hospital, 650 Joel Drie, Fort Campbell, KY 42223-5349 | 2006-12-27 |
| Street Address |
5301 CREEDMOOR RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386676724 | Angel Ballentine | Physical Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2006-07-07 |
| 1346742343 | Kristin Mannina Wilson | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2018-03-06 |
| 1154840411 | Nicholas Vincent Pisano | Physical Therapy Assistant | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2017-09-18 |
| 1689022873 | Christine Marie Graham | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2016-05-27 |
| 1053792663 | Christopher Roberts | Physical Therapy Assistant | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2015-06-10 |
| 1083094767 | Anne Iannucci | Physical Therapy Assistant | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2015-06-08 |
| 1659789717 | Julie Karg | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2014-07-31 |
| 1649609694 | Leticia Delon Rose | Occupational Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2013-11-09 |
| 1326307844 | Stacey Reid | Physical Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2012-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548873037 | Christina Connors | Occupational Therapist | 10101 Ethridge Ct, Raleigh, NC 27615-1152 | 2020-08-25 |
| 1750907069 | Shelby Leanna Caulk | Occupational Therapist | 1001 Hillsborough St Apt 204, Raleigh, NC 27603-1556 | 2020-06-23 |
| 1558991083 | Kosmos LLC | Occupational Therapist | 12100 Peed Rd, Raleigh, NC 27614-9259 | 2020-01-23 |
| 1568018059 | Pt Solutions of North Carolina LLC | Occupational Therapist | 10940 Raven Ridge Rd Ste 110, Raleigh, NC 27614-6611 | 2019-08-12 |
| 1063979300 | Jaime Carlisle Fair | Occupational Therapist | 4834 Crockett Ct, Raleigh, NC 27606-6304 | 2019-02-22 |
| 1275008773 | Cassietta Harris | Occupational Therapist | 2505 Birchford Ct, Raleigh, NC 27604-8416 | 2018-10-10 |
| 1710470596 | Rachel Miller Hatchell | Occupational Therapist | 7401 Rolling Dale Ct, Raleigh, NC 27615-5811 | 2018-06-07 |
| 1518479963 | Kristina Marie Carreira | Occupational Therapist | 3803 Computer Dr Ste 200, Raleigh, NC 27609-6525 | 2017-10-25 |
| 1629589197 | Morgan Sawyer | Occupational Therapist | 319 Chapanoke Road Suite 101, Raleigh, NC 27699-2047 | 2017-10-23 |
| 1962952341 | Maggie Sullivan | Occupational Therapist | 1324 Princess Anne Rd, Raleigh, NC 27607-4750 | 2016-10-10 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on JENNIFER SUSAN LANGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.