Amanda C Long, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2021015424 Issued in MO

Practice address

106 NW 112TH St
Kansas City, MO 64155-3615

Phone

(816) 519-3310

NPI assigned

May 28, 2021

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

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1144896325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NW 112TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553615",
            "telephone_number": "816-519-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NW 112TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553615",
            "telephone_number": "816-519-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631251600",
            "country_code": "US",
            "telephone_number": "314-631-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2021015424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesia Lokshina
• Lone Dialysis LLC
• James H Lonergan, MD
• Owen Shannon Lonergan, MPH, DMD, MD
• Shan Long-Moore, M.A., PLPC
• Amelia Ann Long, RN
• Beckie Long
• Julie Marie Long
• Kaitlyn Renee Long
• Kathy Long

• Physical Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.