Active NPI
Corrie Michelle Long, PT
- Physical Therapist
- Rock Hill, SC
National Provider Identifier
1376792358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5823
- Practice address
- 129 Hampton St
Rock Hill, SC 29730-4509 - Phone
- (803) 980-4900
- Fax
- (803) 980-4902
- NPI assigned
- Sep 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5823 | SC | Primary |
| Physical Therapist | 225100000X | 11627 | NC |
Addresses
Primary practice location
129 Hampton St
Rock Hill, SC 29730-4509
Mailing address
129 Hampton St
Rock Hill, SC 29730-4509
Phone (803) 980-4900
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 |
|---|---|---|---|
| 11627 | NC | MD | Physical Therapist |
| 5823 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Pediatric Therapy | Past | Accepting new patients | |
| Carolina Pediatric Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Rock Hill, SC
- NPI 1073683538
-
- Physical Therapist
- Rock Hill, SC
- NPI 1295704534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1376792358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 HAMPTON ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304509",
"telephone_number": "803-980-4900",
"fax_number": "803-980-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 HAMPTON ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304509",
"telephone_number": "803-980-4900",
"fax_number": "803-980-4902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CORRIE",
"middle_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5823",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11627",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.