Ally Long, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5698 Issued in NC

Practice address

218 Laurel Creek CT
Spruce Pine, NC 28777-3134

Phone

(828) 765-7312

NPI assigned

May 16, 2019

Last updated

May 16, 2019By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1386200202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 LAUREL CREEK CT",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 LAUREL CREEK CT",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773134",
            "telephone_number": "828-765-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A5698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PT BOARD",
            "identifier": "A5698",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Work",
            "affiliation": "N",
            "address_1": "218 Laurel Creek Ct",
            "city": "Spruce Pine",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287773134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Wilbur Larson, MD
• Jennifer Ellen Larson, M.D.
• William Talmadge League, PHARMD
• Kenneth John Lentz Jr., OD
• Gregory Ryan Lewis, CRNA
• Mary Catharine Long, MSW, LCSW
• Michelle Long
• Sandy Aubrey Lusk, FNP
• Katherine Moore Lorenz Luvaga, OTR/L
• Joseph E Martin, LCSW LCAS

• Physical Therapy Assistant in Spruce Pine, NC
• Providers in Spruce Pine, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.