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

Mr. Mark Vincent Lange, MPT

Individual provider Physical Therapist · NPI 1558686428

Mr. Mark Vincent Lange, MPT is a Physical Therapist in Slc, Utah. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Partly verified

Some contact details are missing from the federal record.

Fairfax Rd At Virginia St
Slc, UT 84103
Phone: (801) 536-3616
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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 number1558686428
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 2, 2010
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

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