Wanita L Long, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE1002876 Issued in PA

Practice address

100 Mount Allen Dr
Mechanicsburg, PA 17055-6171

Phone

(717) 697-4666

NPI assigned

Dec 22, 2017

Sex

Female

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

State licenses

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

{
    "created_epoch": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1235645573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 GARRISTON RD",
            "city": "YORK HAVEN",
            "state": "PA",
            "postal_code": "173709519",
            "telephone_number": "717-418-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOUNT ALLEN DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556171",
            "telephone_number": "717-697-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "WANITA",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE1002876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd-Silber Prosthetics, Inc.
• Jonathan P Logue, M.D.
• Kathleen Claire Lombardo, PT
• Marena Jacqueline Lonardi, PA-C
• Marlene Long
• Thomas Longenecker
• Jordan Looney
• Vilma Lopez, LSW
• Walter Robert Lorenz III, PHARM D
• Frederick Lorenzo, MD

• Physical Therapy Assistant in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.