Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shannon Marie Lange, DPT

Individual provider Physical Therapist · NPI 1104420132

Dr. Shannon Marie Lange, DPT is a Physical Therapist in Private Practice in Commack, New York. Qualified in 2016, 10 years ago. Practices with Visiting PT OT Services PLLC, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

150 Veterans Memorial Hwy Unit 141
Commack, NY 11725
Phone: (646) 733-4737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104420132
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Visiting Pt Ot Services Pllc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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