Jodie N Long, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1403196 Issued in KS

Practice address

3730 N Ridge Rd Ste 500
Wichita, KS 67205-1233

Phone

(316) 440-4901

Fax

(316) 440-4904

NPI assigned

Oct 23, 2018

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

Practice roles

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.

• Speech and Beyond, LLC

  • Speech-Language Pathologist
  • Jenks, OK
  • NPI 1457671919
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1265908792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051233",
            "telephone_number": "316-440-4901",
            "fax_number": "316-440-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JODIE",
        "middle_name": "N",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1403196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley F Long, DDS
• Brianna Long, PHARMD
• Cara Elizabeth Long, LMSW
• Charles Long, D.C.
• Cydnee Bacci Long, OTR
• Kimberly Bick Long, APRN
• Matt Long
• Randy J. Long, PA-C, FAPACUS
• Amanda Sue Longoria, OD
• Christina J Longyear

• Physical Therapy Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.