Theresa D Long, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3890 Issued in OK

Practice address

4815 S Harvard Ave Ste 455
Tulsa, OK 74135-3078

Phone

(918) 712-7805

Fax

(918) 712-7813

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073631032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 E 131ST ST S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083113",
            "telephone_number": "918-369-3179",
            "fax_number": "918-369-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S HARVARD AVE STE 455",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353078",
            "telephone_number": "918-712-7805",
            "fax_number": "918-712-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "THERESA",
        "middle_name": "D",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Josephine Long, MSW
• Sarah Pearl Long
• Stacey Long, PT
• Stephani Renae Long, OTR/L
• Stephanie Long
• Trevor Dean Scott Long, PA
• Amanda Longoria, OTR/L
• Johnnie Faye Looney
• Rachel Ann Looney
• Trinity Looney

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.