LANGHSTON MIMMS (DPT, MBA) – Physical Therapist, NPI 1710778964

LANGHSTON MIMMS (DPT, MBA) is a healthcare provider. based in East saint louis, Illinois. specializing in Physical Therapist. They hold the professional credentials DPT, MBA. The NPI Number for LANGHSTON MIMMS (DPT, MBA) is 1710778964

Main info

Male
Name
LANGHSTON MIMMS (DPT, MBA)
NPI
1710778964
Phone
(925) 640-0765
Address
1104 QUEBEC DR
Enumeration Date
16 May 2025
Last Update Date
16 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for LANGHSTON MIMMS (DPT, MBA)

  • 1104 QUEBEC DR

    EAST SAINT LOUIS, IL 622032217

    Phone: (925) 640-0765

    Type: Mailing

  • 5675 ROE BLVD STE 240

    ROELAND PARK, KS 662052515

    Phone: (913) 632-4750

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62203)

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Reviews

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Frequently asked questions

Is there an official ID for LANGHSTON MIMMS (DPT, MBA) in U.S. healthcare records?
The official identifier for LANGHSTON MIMMS (DPT, MBA) is NPI 1710778964.
Is LANGHSTON MIMMS (DPT, MBA) shown as active in public data?
Registry records indicate LANGHSTON MIMMS (DPT, MBA) maintains an active NPI.
How would a patient describe LANGHSTON MIMMS (DPT, MBA)'s focus?
For LANGHSTON MIMMS (DPT, MBA), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Illinois is LANGHSTON MIMMS (DPT, MBA) registered?
Use East Saint Louis, Illinois as the headline location for LANGHSTON MIMMS (DPT, MBA) here.
Does LANGHSTON MIMMS (DPT, MBA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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