Jessica Danielle Long, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61357644 Issued in WA

Practice address

4322 Rucker Ave
Everett, WA 98203-2233

Phone

(425) 258-5454

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By 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

Electronic endpoints 2

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.

• Arlington Massage Therapy and Wellness, PLLC

  • Massage Therapist
  • Arlington, WA
  • NPI 1043940109
  NPD (past)

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1346962594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032233",
            "telephone_number": "425-258-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18725 Smokey Point Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "WA",
            "postal_code": "982238713",
            "country_code": "US",
            "telephone_number": "360-657-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "JESSICA",
        "middle_name": "DANIELLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61357644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "18725 Smokey Point Blvd",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982238713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "4322 Rucker Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982032233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tangiler Mechelle London, AAC-R, DBHR PEER
• Carly Lonergan
• Mark J Lonergan, O.D.
• Ginger Marion Long-Alles, BA/ MHT III
• Brandi Long
• Kimberlee Susan Long, ADN,RN
• Shannon E Long, PT, DPT
• Stephanie L Long, MA
• Longs Drug Stores California Inc (Longs Drug Store)
• Melinda C Longsine

• Massage Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.