Heidi K Long, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

746 Fairmont Rd
Morgantown, WV 26501-4060

Phone

(304) 225-5222

Fax

(304) 225-5224

NPI assigned

Jun 9, 2008

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

Other identifiers 2

Other names 1

• Heidi K Spears Former name

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy IncGroup PAC ID 8224934708, 5 clinicians

Elevate Physical Therapy CorpGroup PAC ID 6800263955, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Physical Therapy, Inc

  • Physical Therapist
  • Morgantown, WV
  • NPI 1487647004
  Medicare reassignment Care Compare group
• Elevate Physical Therapy, Corp.

  • Physical Therapist
  • Fairmont, WV
  • NPI 1023743150
  Medicare reassignment Care Compare group
• Fairmont Home Equipment & Supply Company

  • Oxygen Equipment & Supplies (DME)
  • Morgantown, WV
  • NPI 1356346357
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1174782684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 FAIRMONT ROAD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014060",
            "telephone_number": "304-225-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 FAIRMONT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014060",
            "telephone_number": "304-225-5222",
            "fax_number": "304-225-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "HEIDI",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11880792",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012350",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "SPEARS",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cara M Lombard, M.D.
• April J Lombardo
• Angela M London, DDS
• Courtney Dawn Long
• Daniel Gregory Long II, PH.D.
• Lisa Long
• Margaret Long, MS,LAT, ATC, PES
• Maria Ann Long, M.D.
• Mary Ann Long, M.D.
• Rebecca Long

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.