Kent Long, OTR/L
Individual provider Active NPI Occupational Therapist · Tyrone, PA
NPI 1467743153 · NPPES record last updated Jun 8, 2011
Key facts
- NPI
- 1467743153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC008463 (PA)
- Practice address
- 951 Washington Ave
Tyrone, PA 16686-1426 - Phone
- (814) 684-0320
- NPI assigned
- Apr 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008463 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Therapy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC008463 | PA | Yes |
Addresses
Primary practice location
951 Washington Ave
Tyrone, PA 16686-1426
Mailing address
951 Washington Ave
Tyrone, PA 16686-1426
Other providers in Tyrone, PA
- Dawn Renee Landeck
- Ryan Anthony Lani
- April Layton
- Stefanie Maire Lieb
- Lighthouse Medical, LLC
- William James Mazzocco Jr.
- Francis J McClain
- John Bernard McIntosh
- Ashley McManigal
- Med Center Pharmacy
All providers in Tyrone, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.