MEDICARE: MS. SUSAN SINGER LANGSTON DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5255	AR

General Provider Information

NPI Number	:	1275730442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN SINGER LANGSTON DPT

Provider Business Mailing Address
First Line	:	990 N STATE ROAD 434 STE 1128
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7061
Country	:	US
Telephone Number	:	321-842-3967
Fax Number	:	321-842-3968

Provider Business Practice Location Address
First Line	:	990 N STATE ROAD 434 STE 1128
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-7061
Country	:	US
Telephone Number	:	321-842-3967
Fax Number	:	321-842-3968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	04/06/2026

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