Active NPI
Jennifer Elizabeth Long, OT
- Occupational Therapist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1212 S Naper Blvd Ste 104
Naperville, IL 60540-8398 - Phone
- (630) 369-2340
- Fax
- (630) 369-2859
- NPI assigned
- Sep 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 056003249 | IL | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1212 S Naper Blvd Ste 104
Naperville, IL 60540-8398
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
430 Pennsylvania Ave Ste 240
Glen Ellyn, IL 60137-4464
Phone (630) 450-5060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlong171853@direct.edward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 S Naper Blvd
Suite 104
Naperville, IL 60540-8398
Phone (630) 369-2340
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Occupational Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Current | Accepting new patients | |
| Athletic and Therapeutic Institute of Naperville LLC | Current | Accepting new patients | |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Current | Accepting new patients |
Locations
383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612
1212 S Naper Blvd
Ste 104
Naperville, IL 60540
Phone (630) 369-2340
23915 W Main St
Unit 105
Plainfield, IL 60544
Phone (815) 577-8844
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
16651 Harlem Ave
Tinley Park, IL 60477
Phone (708) 444-2467
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
Organizations & group practices 5
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
dba ATI Physical Therapy
- Physical Therapist
- Bourbonnais, IL
- NPI 1861503542
-
dba Ati Physical Therapy
- Physical Therapist
- Bloomingdale, IL
- NPI 1306177910
-
- Durable Medical Equipment & Medical Supplies
- Columbia, IL
- NPI 1124766696
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1194234385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 S NAPER BLVD STE 104",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605408398",
"telephone_number": "630-369-2340",
"fax_number": "630-369-2859"
}
],
"practiceLocations": [
{
"address_1": "430 Pennsylvania Ave Ste 240",
"address_purpose": "LOCATION",
"city": "Glen Ellyn",
"state": "IL",
"postal_code": "601374464",
"country_code": "US",
"telephone_number": "630-450-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "IL",
"license": "056003249",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlong171853@direct.edward.org",
"affiliation": "N",
"address_1": "430 Pennsylvania Ave Ste 240",
"city": "Glen Ellyn",
"state": "IL",
"country_code": "US",
"postal_code": "601374464",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.