Jillyan Avery Long, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3281 Issued in OK

Practice address

8165 S Mingo Rd Ste 101
Tulsa, OK 74133-4667

Phone

(918) 615-6280

Fax

(918) 615-6240

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Rehabilitation Center on Mingo LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1467956938
  NPD
• Physical Therapy Specialists of Tulsa LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1720631484
  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1548854557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-615-6280",
            "fax_number": "918-615-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8165 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334667",
            "telephone_number": "918-615-6280",
            "fax_number": "918-615-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JILLYAN",
        "middle_name": "AVERY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Charlene Long, CDT
• Jacqueline E Long, LCSW
• Jason Long, PT
• Jeffrey Michael Long, OD
• Jenna R Long
• Kristen Nicole Long, APRN-CNP
• Kristin Casey Long
• Piper Long, DO
• Rachel Josephine Long, MSW
• Sarah Pearl Long

• Physical Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.