Linda S Longoria, PT MA OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

113902 Issued in TX

Practice address

1825 Fortview Rd
Ste 109
Austin, TX 78704-7657

Phone

(512) 892-5250

Fax

(512) 892-7183

NPI assigned

Jun 24, 2008

Last updated

Apr 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: linda.longoria.1@8363.direct.athenahealth.com

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.

• South Austin Therapy Group, Inc

  dba South Austin Therapy

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1417041518

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1558522219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151132",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787151132",
            "telephone_number": "512-892-5250",
            "fax_number": "512-892-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FORTVIEW RD",
            "address_2": "STE 109",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047657",
            "telephone_number": "512-892-5250",
            "fax_number": "512-892-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PT MA OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "113902",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "602400000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "177242900",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83661T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0018DZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Brooke Longino, FNP-C
• Beata Korytkowski Longo, MA, CCC-SLP
• Elizabeth Sara Longo, PHARMACY STUDENT
• Christopher Longoria, LMT
• John T Longoria, PT
• Kyra Anne Longsdorf, RD, LD, CLS
• Rebekah Kristine Longshore
• Melinda Longtain, PH.D.
• Mallory Anne Longwell, MS, RD, LD
• Dayley Lonsdorf

• Orthopedic Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.