Jarrett Lange, PT
NPI 1174500805ActiveIndividual· Physical Therapist· Odessa, TX
Physical Therapist (PT) in Odessa, Texas, trained at Texas Tech University Health Science Center School of Medicine (class of 1995). Medicare paid $2,443 for services to 12 patients in 2024.
Overview
| NPI | 1174500805 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Dec 23, 2005 |
| Last updated in NPPES | Apr 16, 2020 |
| Certified by provider | Apr 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1099117 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 179 across 9 procedure codes |
| Paid by Medicare | $2,443 |
Education and affiliations
| Medical school | Texas Tech University Health Science Center School of Medicine |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Odessa Physical Therapy PCOdessa, TX · 8 clinicians
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All 58 physical therapists in Odessa · All physical therapists in Texas