Individual provider Active NPI

David James Long, L.M.T.

  • Mechanotherapist
  • Tallahassee, FL
National Provider Identifier
1528484854
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA15257 Issued in FL
Practice address
2732 Capital Cir NE Ste 3
Tallahassee, FL 32308-4108
Phone
(850) 671-2313
Fax
(850) 385-9383
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA15257 FL Primary

Addresses

Primary practice location

2732 Capital Cir NE Ste 3
Tallahassee, FL 32308-4108

Mailing address

2732 Capital Cir NE Ste 3
Tallahassee, FL 32308-4108
Phone (850) 671-2313

Other identifiers 1

IdentifierTypeStateIssuer
MA15257OtherFLMASSAGE THERAPY

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
MA15257FLMDMechanotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Touch of Healing Mechanotherapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1528484854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 CAPITAL CIR NE STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084108",
            "telephone_number": "850-671-2313",
            "fax_number": "850-385-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 CAPITAL CIR NE STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084108",
            "telephone_number": "850-671-2313",
            "fax_number": "850-385-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA15257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MA15257",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.