Latisha Long

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1840 Towne Park Dr
Troy, OH 45373-8365

Phone

(937) 440-3600

NPI assigned

May 23, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1285473686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 BROOKVIEW RD",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453739311",
            "telephone_number": "937-564-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 TOWNE PARK DR",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738365",
            "telephone_number": "937-440-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LATISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Leon Locke, DDS
• Deanne Darlene Locker, MD
• Courtney Lombardo, MS CCC SLP
• Emily Lombardo, RN
• Jodi Long, LISW
• Madelynn Grace Long, LSW
• Lyle Stewart Lowry, MD
• Collin Luthman, LPC
• Jennifer Ellen Lykes, LPN
• Corinne Lyons, AT

• Physical Therapy Assistant in Troy, OH
• Providers in Troy, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.