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
- Last updated
- Feb 12, 2024
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Professional Physical Therapy
- Orthotic Fitter
- Mission Viejo, CA
- NPI 1285820183
Orthopedic
-
dba DBA Professional Physical Therapy
- Physical Therapist
- Mission Viejo, CA
- NPI 1528065588
Orthopedic
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.