Lauren Long, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1089 Issued in AR

Practice address

1315 Walnut St
Texarkana, TX 75501-4446

Phone

(903) 794-2705

NPI assigned

Aug 25, 2016

Last updated

Aug 25, 2016By 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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temple Memorial Pediatric Center Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Texarkana, TX
  • NPI 1972654663
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1285180794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014446",
            "telephone_number": "903-794-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LAUREN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1089",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Caroline Lockeby, PA-C
• Shauna Loe
• Richard Loeffler, CRNA
• Lonestar Family Medical Clinic LLP (LoneStar Health & Wellness)
• Ariel Long
• Mark Allan Looney, DDS
• Olivia Jo Lopez
• Arie Love
• Lisa Cunningham Love, MS-LPC
• Myra Loving, MS, LPC

• Occupational Therapy Assistant in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.