| 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 Therapist In Private Practice |
| Experience | 30 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 | 246 |
| 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 | |
Marieflor Iringan Ferrell, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 Sarah Drive, Ashland, MO 65010 Phone: 573-429-3641 |