Stephens Earl Long, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1054039 Issued in TX

Practice address

2200 Los Rios Blvd
Ste 132
Plano, TX 75074-3400

Phone

(972) 509-5070

Fax

(972) 509-1557

NPI assigned

Nov 30, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Achieve Physical Therapy and Performance Limited Partnership

  • Physical Therapist
  • Plano, TX
  • NPI 1144600362
  Medicare reassignment NPD
• Chambers Outpatient Rehab Services, LLC

  • Physical Therapist
  • Mt Pleasant, TX
  • NPI 1356538136
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1467520445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660046",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660046",
            "telephone_number": "214-369-8555",
            "fax_number": "214-369-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD",
            "address_2": "STE 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743400",
            "telephone_number": "972-509-5070",
            "fax_number": "972-509-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "STEPHENS",
        "middle_name": "EARL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1054039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191639701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T7254",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lonestar Weightloss
• Brian McKinley Long, M.D.
• Carl Thomas Long III, M.D.
• Kisha Renea Long, PA-C
• Melanie Long
• Tayler H Long, M.D.
• Victoria O Long
• Nicholas Longendyke
• Longhorn Neurophysiology, P.a.
• Jeffrey Kent Longino, PHYSICAL THERAPIST

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.