Karl Joseph Lange, P.T.
Physical Therapist in Kirkland, WA. Individual provider (NPI-1).
NPI number1407159643
StatusActive
Last updated in NPPESDec 9, 2010
Details
- NPI
- 1407159643
- Entity type
- Individual (NPI-1)
- Name
- Mr. Karl Joseph Lange
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2010
- Last updated
- Dec 9, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT00009270 | WA | Yes |
Practice location
12616 Ne 119th StD7
Kirkland, WA 98034-4151
Phone 520-591-7117
Mailing address
12616 Ne 119th StD7
Kirkland, WA 98034-4151
Phone 520-591-7117
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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