Individual provider Active NPI

Patricia Leona Long, OTR/L

  • Specialist
  • Moon Township, PA
National Provider Identifier
1497928378
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT6511 Issued in CA
Practice address
890 Beaver Grade Rd
Moon Township, PA 15108-2653
Phone
(412) 474-3566
Fax
(412) 474-3575
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OT6511 CA Primary

Addresses

Primary practice location

890 Beaver Grade Rd
Moon Township, PA 15108-2653

Mailing address

151 Greenlea Dr
Moon Township, PA 15108-2647
Phone (412) 269-0671

Other identifiers 1

IdentifierTypeStateIssuer
1497928378OtherCANOT SURE WORK WITH EARLY INTERVENTION AND CHILDREN IN CLINIC SETTINGS.

Other names 1

  • Feather Lathero Other name

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
OT6511CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1497928378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GREENLEA DR",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082647",
            "telephone_number": "412-269-0671",
            "fax_number": "412-474-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082653",
            "telephone_number": "412-474-3566",
            "fax_number": "412-474-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "PATRICIA",
        "middle_name": "LEONA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT6511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT SURE WORK WITH EARLY INTERVENTION AND CHILDREN IN CLINIC SETTINGS.",
            "identifier": "1497928378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEATHER",
            "last_name": "LATHERO",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.