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

Individual provider Physical Therapy Assistant · NPI 1871137984

Thaddeus Lee Langenwalter, PTA is a Physical Therapy Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
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

7310 N 16th St Ste 100
Phoenix, AZ 85020-5258
Phone: (602) 535-8255
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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 9066 (AZ)

Record details

NPI number1871137984
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedOctober 31, 2019
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022

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