Alicia M Lange, PT | |
115 East Broadway, Ashland, MO 65010 | |
(573) 657-1915 | |
(573) 657-1875 |
Full Name | Alicia M Lange |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 115 East Broadway, Ashland, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871511154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 108118 (Missouri) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | 105861 (Missouri) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boone Physician Services Llc | 6507090644 | 228 |
Provider Name | Boone Physician Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
Provider Name | Central Missouri Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558436592 PECOS PAC ID: 6901870187 Enrollment ID: O20150915001876 |
Mailing Address | Practice Location Address |
---|---|
Alicia M Lange, PT 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 Ph: (573) 449-8771 | Alicia M Lange, PT 115 East Broadway, Ashland, MO 65010 Ph: (573) 657-1915 |
April Joy Church, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Redwing Dr, Ashland, MO 65010 Phone: 651-353-2888 | |
Dr. Kara D Graham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 409 Middleton Dr, Ashland, MO 65010 Phone: 573-220-9642 | |
Peak Performance Physical Therapy & Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 603 S Henry Clay Blvd, Suite B, Ashland, MO 65010 Phone: 573-657-1915 Fax: 573-657-1875 | |
Marieflor Iringan Ferrell, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Sarah Drive, Ashland, MO 65010 Phone: 573-429-3641 |