Active NPI
Christopher A Long, PT
- Orthopedic Physical Therapist
- Mission Viejo, CA
National Provider Identifier
1467583880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT18480
- Practice address
- 26471 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-6378 - Phone
- (949) 916-2601
- Fax
- (949) 916-2302
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT18480 | CA | Primary |
Addresses
Primary practice location
26471 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-6378
Mailing address
200 Mercy Circle
Physical Therapy Dept
Oceanside, CA 92055
Phone (949) 763-6059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT18480 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richards Physical Therapy Inc | Orthopedic | Past | Accepting new patients |
| Richards Physical Therapy Inc | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1467583880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"address_2": "PHYSICAL THERAPY DEPT",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92055",
"telephone_number": "949-763-6059",
"fax_number": "949-916-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26471 CROWN VALLEY PKWY",
"address_2": "SUITE 200",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916378",
"telephone_number": "949-916-2601",
"fax_number": "949-916-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2024-02-12",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT18480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.