Mary Elizabeth Long, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1535 Appling Care LN
Cordova, TN 38016-4994

Phone

(901) 203-5228

NPI assigned

May 10, 2022

Last updated

May 22, 2024By 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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Ave Maria Home

  • Nursing Facility/Intermediate Care Facility
  • Memphis, TN
  • NPI 1831250604
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Cordova, TN
  • NPI 1215712781

  Occupational Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1407592579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 TENNESSEE ST APT 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038795",
            "telephone_number": "731-363-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 APPLING CARE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164994",
            "telephone_number": "901-203-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Zhu Liu, MD
• Christopher George Barret Livesay, PHARMD
• William M Locante, DDS
• Jennifer Lockhart
• Chasity Long
• Yan Long
• Nakeesha Longmire, LCSW
• Karen Yulisa Lopez Salguero
• Cvelyn Love, AGACNP-BC
• Loving Life With Balance

• Occupational Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.