Provider Demographics
NPI:1235420159
Name:LANGENBACH, CARINA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:CARINA
Middle Name:
Last Name:LANGENBACH
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5105
Mailing Address - Country:US
Mailing Address - Phone:719-213-0603
Mailing Address - Fax:719-213-0603
Practice Address - Street 1:8805 W 14TH AVE STE 320
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-4850
Practice Address - Country:US
Practice Address - Phone:719-213-0603
Practice Address - Fax:720-316-5962
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006432225XN1300X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207164901Medicaid
TX149984001Medicaid
TX149984001Medicaid
TX207164901Medicaid