Active NPI
Jenifer Long, MSPT
- Physical Therapist
- Winchester, KY
National Provider Identifier
1104692797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008909
- Practice address
- 175 Hospital Dr
Winchester, KY 40391-9591 - Phone
- (859) 745-3500
- NPI assigned
- Nov 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008909 | KY | Primary |
Addresses
Primary practice location
175 Hospital Dr
Winchester, KY 40391-9591
Mailing address
1305 Irvine Rd
Winchester, KY 40391-7409
Phone (703) 431-4939
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008909 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1104692797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 IRVINE RD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403917409",
"telephone_number": "703-431-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 HOSPITAL DR",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403919591",
"telephone_number": "859-745-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JENIFER",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.