Active NPI
Joshua Christian Long, PT
- Physical Therapist
- Mt Pleasant, SC
National Provider Identifier
1003901547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5126
- Practice address
- 1469 Appling Dr
Mt Pleasant, SC 29464-4688 - Phone
- (843) 614-7429
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5126 | SC | Primary |
Addresses
Primary practice location
1469 Appling Dr
Mt Pleasant, SC 29464-4688
Mailing address
1469 Appling Dr
Mt Pleasant, SC 29464-4688
Phone (843) 614-7429
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 |
|---|---|---|---|
| 5126 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1003901547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1469 APPLING DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294644688",
"telephone_number": "843-614-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1469 APPLING DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294644688",
"telephone_number": "843-614-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JOSHUA",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.