Individual ProviderJeffrey J LangePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6000PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey J Lange does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417143090Provider TypeIndividualFull NameLange, Jeffrey JCredentialPTGenderMaleSole ProprietorNoEnumeration Date9/18/2007Last Updated9/18/2007Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6000Fax(701) 323-6189Mailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6000Fax(701) 323-6189Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense540North Dakota