Active NPI
Daniela Sales Long
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1003147216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38425
- Practice address
- 4324 N Federal Hwy
Fort Lauderdale, FL 33308-5208 - Phone
- (954) 369-5787
- Fax
- (954) 206-7733
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38425 | FL | Primary |
| Massage Therapist | 225700000X | MA57126 | FL |
Addresses
Primary practice location
4324 N Federal Hwy
Fort Lauderdale, FL 33308-5208
Mailing address
4324 N Federal Hwy
Fort Lauderdale, FL 33308-5208
Phone (954) 369-5787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38425 | FL | MD | Physical Therapist |
| MA57126 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backstretch South Florida | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Coral Springs, FL
- NPI 1437472925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1003147216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085208",
"telephone_number": "954-369-5787",
"fax_number": "954-206-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085208",
"telephone_number": "954-369-5787",
"fax_number": "954-206-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DANIELA",
"middle_name": "SALES",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38425",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA57126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.