Active NPI
Virginia Long
- Occupational Therapist
- Dayton, OH
National Provider Identifier
1518155993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4293
- Practice address
- 4160 Little York Rd
Suite 10
Dayton, OH 45414-5803 - Phone
- (937) 415-9100
- Fax
- (937) 415-9191
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4293 | OH | Primary |
Addresses
Primary practice location
4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Mailing address
4160 Little York Rd
Suite 10
Dayton, OH 45414-5803
Phone (937) 415-9100
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 |
|---|---|---|---|
| 4293 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1518155993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 LITTLE YORK RD",
"address_2": "SUITE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454145803",
"telephone_number": "937-415-9100",
"fax_number": "937-415-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 LITTLE YORK RD",
"address_2": "SUITE 10",
"city": "DAYTON",
"state": "OH",
"postal_code": "454145803",
"telephone_number": "937-415-9100",
"fax_number": "937-415-9191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "4293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.