Individual provider Active NPI

Denice Jaspher Long, PT

  • Physical Therapist
  • Killeen, TX
National Provider Identifier
1477038990
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1214949 Issued in TX
Practice address
5003 Parkwood Dr
Killeen, TX 76542-4326
Phone
(216) 370-0016
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014381 OH
Physical Therapist 225100000X 1214949 TX Primary

Addresses

Primary practice location

5003 Parkwood Dr
Killeen, TX 76542-4326

Mailing address

200 Putnam St Ste 800
Marietta, OH 45750-3013
Phone (614) 340-7587

Other practice location 1

470 Olde Worthington Rd Ste 200
Westerville, OH 43082-9127
Phone (614) 340-7587

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT014381OHMDPhysical Therapist
1214949TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1477038990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PUTNAM ST STE 800",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503013",
            "telephone_number": "614-340-7587",
            "fax_number": "614-340-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 PARKWOOD DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424326",
            "telephone_number": "216-370-0016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Olde Worthington Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829127",
            "country_code": "US",
            "telephone_number": "614-340-7587",
            "fax_number": "614-340-7588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "DENICE JASPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT014381",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1214949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.