Healthcare Provider Details

I. General information

NPI: 1629906771
Provider Name (Legal Business Name): ANDREW THOMAS LANGNER OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9109 LONGSTONE DR
LEWIS CENTER OH
43035-8431
US

IV. Provider business mailing address

9109 LONGSTONE DR
LEWIS CENTER OH
43035-8431
US

V. Phone/Fax

Practice location:
  • Phone: 614-450-2399
  • Fax:
Mailing address:
  • Phone: 614-450-2399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT011535
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: