Jeffrey Kent Longino, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1187388 Issued in TX

Practice address

555 Republic Dr Ste 200
Plano, TX 75074-5469

Phone

(972) 516-4249

Fax

(972) 516-4251

NPI assigned

Jun 15, 2009

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1194952465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 SAINT THOMAS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750944618",
            "telephone_number": "469-288-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 REPUBLIC DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745469",
            "telephone_number": "972-516-4249",
            "fax_number": "972-516-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGINO",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1187388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephens Earl Long, PT
• Tayler H Long, M.D.
• Victoria O Long
• Nicholas Longendyke
• Longhorn Neurophysiology, P.a.
• Caitlyn Longoria
• Somalia Longoria
• Ernest T. Lontos, DDS
• Shelley D Loomstein, PA
• Sharon Ranee Looney, PHARMD

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.