Active NPI
Terry L Longenecker, PT
- Physical Therapist
- York, PA
National Provider Identifier
1184625170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005109L
- Practice address
- 1855 Powder Mill Rd
York, PA 17402-4723 - Phone
- (717) 848-4800
- Fax
- (717) 741-4240
- NPI assigned
- Aug 2, 2005
- Last updated
- Jul 23, 2020
- 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 | PT005109L | PA | Primary |
Addresses
Primary practice location
1855 Powder Mill Rd
York, PA 17402-4723
Mailing address
1861 Powder Mill Rd
Attn Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041
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 |
|---|---|---|---|
| PT005109L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1184625170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 POWDER MILL RD",
"address_2": "ATTN MEDICAL STAFF OFFICE",
"city": "YORK",
"state": "PA",
"postal_code": "174024723",
"telephone_number": "717-718-2041",
"fax_number": "717-747-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 POWDER MILL RD",
"city": "YORK",
"state": "PA",
"postal_code": "174024723",
"telephone_number": "717-848-4800",
"fax_number": "717-741-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGENECKER",
"first_name": "TERRY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005109L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.