Individual provider Active NPI

Dawn Lee Longenberger, MSPT

  • Physical Therapist
  • Cherry Hill, NJ
National Provider Identifier
1285853820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTO15071 Issued in PA
Practice address
1415 Marlton Pike E
Suite 103
Cherry Hill, NJ 08034-2210
Phone
(800) 670-3893
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTO15071 PA Primary

Addresses

Primary practice location

1415 Marlton Pike E
Suite 103
Cherry Hill, NJ 08034-2210

Mailing address

1203 Reagan CT
Jeffersonville, PA 19403-5254
Phone (610) 420-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTO15071PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285853820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 REAGAN CT",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194035254",
            "telephone_number": "610-420-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MARLTON PIKE E",
            "address_2": "SUITE 103",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342210",
            "telephone_number": "800-670-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGENBERGER",
        "first_name": "DAWN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PTO15071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.