Active NPI
Stephani Renae Long, OTR/L
- Occupational Therapist
- Tulsa, OK
National Provider Identifier
1295302271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5553
- Practice address
- 6800 S Granite Ave
Tulsa, OK 74136-7039 - Phone
- (918) 491-5200
- NPI assigned
- Jun 8, 2021
- Last updated
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5553 | OK | Primary |
Addresses
Primary practice location
6800 S Granite Ave
Tulsa, OK 74136-7039
Mailing address
2905 W Canton St
Broken Arrow, OK 74012-0824
Phone (479) 883-1120
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5553 | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1295302271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 W CANTON ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740120824",
"telephone_number": "479-883-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 S GRANITE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741367039",
"telephone_number": "918-491-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "STEPHANI",
"middle_name": "RENAE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "5553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.