Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942744875 Individual Practitioner Female Practitioner

Samantha Lange , LMT

Specialist • Eagle River, AK

Professional Overview & Biography Verified Profile Summary

Samantha Lange, LMT is a registered healthcare professional specializing in Specialist in Eagle River, AK. Practice services are available at 11421 OLD GLENN HWY STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11421 Old Glenn Hwy Ste 101

Eagle River, AK 995777783

Telephone 9076222500
Fax 9076942289

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Eagle River, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 40.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Eagle River, AK (133 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AK 101890

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Alaska State Massage Therapy Licsense
101890 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Katherine Smith , NP

Nurse Practitioner - Adult Health

NPI 1144719535

Nurse Practitioner

Madalynn Alsup , LMT

Massage Therapist

NPI 1194328138

Licensed Massage Therapist

Thomas Bailey , LMT

Massage Therapist

NPI 1255111258

Licensed Massage Therapist

Dr. Brendon Boyd , DPT

Physical Therapist

NPI 1336885292

Doctor of Physical Therapy

Avery Levonuk , PTA

Physical Medicine & Rehabilitation

NPI 1346080892

Physical Therapist Assistant

Nikki Kronberger

Massage Therapist

NPI 1558140533

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2016

Registered at 11421 OLD GLENN HWY STE 101, EAGLE RIVER, AK 995777783 (Tel: 9076222500)

📍
Updated Business Mailing Address December 12, 2016

Registered at 11421 OLD GLENN HWY STE 101, EAGLE RIVER, AK 995777783 (Tel: 9076222500)

👤
Provider Name / Credentials Updated December 12, 2016

Recorded as SAMANTHA LANGE, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2016

Specialist (License #101890 in AK)

🟢
Initial NPI Registration & Enumeration December 12, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942744875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2016
Last Update: December 12, 2016
Sole Proprietor: No

Mailing Address

11421 Old Glenn Hwy Ste 101

Eagle River, AK 995777783

Phone: 9076222500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.