Thomas Long

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005651 Issued in GA

Practice address

5908 Cobblestone Creek Cir
Mableton, GA 30126-2654

Phone

(931) 241-1159

NPI assigned

Nov 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pruitthealth Therapy Services IncGroup PAC ID 9335159730, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pruitthealth Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Norcross, GA
  • NPI 1013152933
  Medicare reassignment Care Compare group NPD
• Recess Limitless Play

  • Pediatric Occupational Therapist
  • Mableton, GA
  • NPI 1174169940
  NPD Authorized official
• Recess Pediatric Therapy

  • Pediatric Occupational Therapist
  • Mableton, GA
  • NPI 1508400763
  NPD Authorized official
• Creekside Autism Center

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1902687981
  NPD

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1386017986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 COBBLESTONE CREEK CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262654",
            "telephone_number": "931-241-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 COBBLESTONE CREEK CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262654",
            "telephone_number": "931-241-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tenesha Littleton, LCSW
• Live Line Transportation LLC
• Abraham Lo
• Christie Cheeyoung Oh Lo, GNP
• Danielle Denise Long
• Toni Long, LPC
• Luis Felipe Lopez, FNP-C
• Loriquen Holdings Dba Kinkistry
• Nyla A Lotus, FNP
• Love Is Life Healthcare & Wellness

• Occupational Therapist in Mableton, GA
• Providers in Mableton, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.