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

Jake Lange, PTA

Individual provider Physical Therapy Assistant · NPI 1194350090

Jake Lange, PTA is a Physical Therapy Assistant in Branford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

189 Alps Rd
Branford, CT 06405-4771
Phone: (203) 315-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 002006 (CT)

Record details

NPI number1194350090
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 11, 2020
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address189 Alps Rd, Branford, CT 06405-4771

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