DR. SHANNON MARIE LANGE DPT
NPI 1104420132
Physical Therapist in Commack, NY

Active since November 30, 2020Accepts Medicare Assignment
150 VETERANS MEMORIAL HWY, UNIT 141, COMMACK, NY 11725(646) 733-4737 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shannon Marie Lange Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON MARIE LANGE DPT (NPI 1104420132) is an individual physical therapist in Commack, New York and active in the NPI registry since November 2020. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1104420132
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. SHANNON MARIE LANGECredential: DPT
Location Address150 VETERANS MEMORIAL HWY, UNIT 141Commack, NY 11725
Mailing Address461 Chelsea AveWest Babylon, NY 11704-4025 · (631) 671-6192
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 26, 2020
✔ NPI 1104420132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
150 VETERANS MEMORIAL HWY, Commack, NY 11725

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Marie Lange Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214344571
PECOS Enrollment IDI20210402000497

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Lange reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
117 STONEHURST LN
Dix Hills, NY 11746
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
Physical Therapist
85 ROOSEVELT AVE
Valley Stream, NY 11581
  • Reassigned Medicare billing, New York enrollment
  • 31 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
150 VETERANS MEMORIAL HWY, STE 1365
COMMACK, NY 11725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Lange's NPI number?

The NPI number for Shannon Lange is 1104420132. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Shannon Lange located?

Shannon Lange practices at 150 Veterans Memorial Hwy Unit 141, Commack, NY 11725. The listed phone number is (646) 733-4737.

What is Shannon Lange's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Shannon Lange enrolled in Medicare?

Yes. Shannon Lange is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shannon Lange's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Lange reassigns Medicare benefits to 2 organizations: The Traveling Physical Therapist (Dix Hills, NY) and Visiting Pt Ot Services PLLC (Valley Stream, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Lange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Lange was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.