Travis Kyle Long, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

608 Issued in OK

Practice address

4901 W Reno Ave
Ste 500
Oklahoma City, OK 73127-6346

Phone

(405) 230-9290

Fax

(405) 230-9284

NPI assigned

May 10, 2011

Last updated

May 10, 2011By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1235421256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032612",
            "telephone_number": "405-230-9000",
            "fax_number": "405-230-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W RENO AVE",
            "address_2": "STE 500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276346",
            "telephone_number": "405-230-9290",
            "fax_number": "405-230-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TRAVIS",
        "middle_name": "KYLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payden Nicole Long
• Randell Long
• Rosie Long, LPN,IBCLC,RLC
• Shelby-Lynn Long
• Tracy Dinah Long
• Vertina Nashell Long, BHRS SPECIALIST
• Wesley Cornell Long, PHD
• Whitney Long, R.D.
• Chuck Longacre
• Temiloluwa Oluwatosin Longe, MD

• Athletic Trainer in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.