Samuel James Longo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213946 Issued in VA

Practice address

3607 Raftersridge Dr
Midlothian, VA 23113-3747

Phone

(516) 459-9288

NPI assigned

Jul 20, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Complete Home Health Care LLC

  • Home Health Agency
  • Midlothian, VA
  • NPI 1669045670
  NPD Authorized official
• Pinnacle Rehabilitation Partners PLLC

  • Physical Therapist
  • Midlothian, VA
  • NPI 1437075199
  NPD (past) Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1386217172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 RAFTERSRIDGE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133747",
            "telephone_number": "516-459-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 RAFTERSRIDGE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133747",
            "telephone_number": "516-459-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305213946",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "2305213946",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen D Lockard, M.D.
• Sebastian Richard Lodwick
• Kathryn Marie Logsdon, MPT
• Allison Marie Longest, MSN, AGACNP-BC
• Longevite Health and Wellness
• Yaquelin Lopez Garcia, DPT
• Keisha Ronnelle Lopez, NP
• Shelli Clemens Lord-Pawson, PEERRECOVERYSPECIALI
• Clay Ashley Loucks, MD
• Melanie Loucks, BCABA

• Physical Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.