Kodee Long, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT031429 Issued in PA

Practice address

901 E Main St Ste 15
Palmyra, PA 17078-1923

Phone

(717) 803-2180

NPI assigned

Aug 3, 2023

Last updated

Dec 29, 2023By the provider in NPPES

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

Other names 1

• Kodee Bair Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Hummelstown, PA
  • NPI 1538122700
  Medicare reassignment NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapy Clinic/Center
  • Carlisle, PA
  • NPI 1689219529
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1275215709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-405-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST STE 15",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170781923",
            "telephone_number": "717-803-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KODEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KODEE",
            "last_name": "BAIR",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lebanon Valley Family Medicine Inc
• Lebanon Valley Family Medicine, Inc
• Jenny S Lee, M.D.
• LHM Physical Therapy Institute LLC
• Arvin Lie, PA-C
• Darina M Lynch, PSY.D.
• Maggie Lynch
• Stephen Edward Lyons, D.C.
• Eric Jeongmo Ma, PT, DPT
• Steve Josef Markowitz, RPH

• Physical Therapist in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.