JARRETT LANGE (PT) – Physical Therapist, NPI 1174500805

JARRETT LANGE (PT) is a healthcare provider. based in San angelo, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1099117 (TX). The NPI Number for JARRETT LANGE (PT) is 1174500805

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JARRETT LANGE (PT)
NPI
1174500805
Phone
(325) 658-1511
Address
PO BOX 22000
Enumeration Date
23 December 2005
Last Update Date
16 April 2020

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
4323669541
Graduation Year
1995 (31 years ago)
PAC ID
6800846999
Group Practice PAC ID
2163324955
Professional Enrollment ID
I20050126000814
Address ID
TX797625311OD4407XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for JARRETT LANGE (PT)

  • San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico

    SAN ANGELO, TX 769027200

    Phone: (325) 658-1511

    Type: Mailing

  • 4407, North Grandview Avenue, Scottsdale, Odessa, Ector County, Texas, 79762, United States

    ODESSA, TX 797625311

    Phone: (432) 366-9541

    Fax: (432) 366-1951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050126000814IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes11034$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10137$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6022$0
97016Application of blood vessel compression device2111$0
View full utilization report →

Insurance plans in this area (ZIP 76902)

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Provider's Procedures

JARRETT LANGE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYTX97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65158

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163324955View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for JARRETT LANGE (PT)?
Save NPI 1174500805 if you need a stable reference for JARRETT LANGE (PT).
Is JARRETT LANGE (PT) active in the national directory?
JARRETT LANGE (PT)'s public NPI profile is in an active state.
Can you summarize JARRETT LANGE (PT)'s specialty in plain language?
Clinically, the directory lists JARRETT LANGE (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for JARRETT LANGE (PT)?
We surface San Angelo, Texas for JARRETT LANGE (PT) based on available NPPES addresses.
How can I contact JARRETT LANGE (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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