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

Jarrett Lange, PT

Individual provider Physical Therapist · NPI 1174500805

Jarrett Lange, PT is a Physical Therapist in Private Practice in Odessa, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 1995, 31 years ago. Practices with Odessa Physical Therapy PC, an 8-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
31
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4407 N Grandview Ave
Odessa, TX 79762-5311
Phone: (432) 366-9541
Fax: (432) 366-1951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1099117 (TX)

Record details

NPI number1174500805
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 23, 2005
Last updated in NPPESApril 16, 2020
Certification dateApril 16, 2020
Mailing addressPo Box 22000, San Angelo, TX 76902-7200

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Odessa Physical Therapy Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Odessa