NPIMap

Organization Active NPI

Teresa Long Physical Therapt Inc

  • Early Intervention Provider Agency
  • Louisville, KY
National Provider Identifier
1235588724
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
002535 Issued in KY
Legal business name
TERESA LONG PHYSICAL THERAPT INC
Practice address
1119 Lake Bluff Cir
Louisville, KY 40245-5239
Phone
(502) 552-3530
Fax
(502) 244-5844
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Teresa Long, PTNPI 1528284510
Title
PT
Phone
(502) 552-3530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 002535 KY Primary

Addresses

Primary practice location

1119 Lake Bluff Cir
Louisville, KY 40245-5239

Mailing address

1119 Lake Bluff Cir
Louisville, KY 40245-5239
Phone (502) 552-3530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1235588724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 LAKE BLUFF CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455239",
            "telephone_number": "502-552-3530",
            "fax_number": "502-244-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 LAKE BLUFF CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455239",
            "telephone_number": "502-552-3530",
            "fax_number": "502-244-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA LONG PHYSICAL THERAPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "502-552-3530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "002535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.