Individual provider Active NPI

Anne Irvine Long, OTR

  • Occupational Therapist
  • Hueytown, AL
National Provider Identifier
1356516066
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0722 Issued in AL
Practice address
2801 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1859
Phone
(205) 744-7311
Fax
(205) 744-7814
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0722 AL Primary

Addresses

Primary practice location

2801 Allison Bonnett Memorial Dr
Hueytown, AL 35023-1859

Mailing address

4901 Deerfoot Pkwy
Trussville, AL 35173-2697
Phone (205) 661-0810

Other names 1

  • Ms. Elizabeth Anne Irvine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000468 AL Practitioner - Occupational Therapist in Private Practice 6406927169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosports Associates LLCGroup PAC ID 3173707171, 36 clinicians

Practice addresses (Care Compare)

48 Medical Park E Dr
Suite 255
Birmingham, AL 35235-3464
Phone (205) 838-3090

833 Saint Vincents Dr
Suite 403
Birmingham, AL 35205-1614
Phone (205) 939-0047

Merit-based Incentive Payment System (MIPS)

Final score
84.68 of 100Reported as group
Improvement activities
40
Cost
69.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0722ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosports Associates LLC CurrentSince Oct 30, 2015 Accepting new patients
Orthosports Associates LLC Occupational Therapist CurrentSince Oct 30, 2015 Accepting new patients
Hand Clinic, Inc Occupational Therapist Past Accepting new patients
Right Start Therapy, Inc Past Accepting new patients

Locations

833 Saint Vincents Dr
Ste 403
Birmingham, AL 35205
Phone (205) 939-0047

48 Medical Park Dr E
Ste 255
Birmingham, AL 35235

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1356516066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 DEERFOOT PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732697",
            "telephone_number": "205-661-0810",
            "fax_number": "205-661-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350231859",
            "telephone_number": "205-744-7311",
            "fax_number": "205-744-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANNE",
        "middle_name": "IRVINE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "0722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "IRVINE",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hueytown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.