Nickoles Long

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018726 Issued in OH

Practice address

800 Yard St Ste 300
Grandview Heights, OH 43212-3882

Phone

(937) 672-6098

NPI assigned

May 5, 2025

Sex

Male

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

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Affordable Home Health Care LLCGroup PAC ID 9739192147, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Affordable Home Health Care, LLC

  • Physical Therapist
  • Columbus, OH
  • NPI 1457216277
  Medicare reassignment Care Compare group NPD
• Affordable Home Health Care, LLC

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999

  Physical Therapist

  NPD

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1578352571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 DRIVEMERE RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261514",
            "telephone_number": "937-672-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 YARD ST STE 300",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123882",
            "telephone_number": "937-672-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "NICKOLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart and Hands Hospice by the Vna LLC
• Kathy A Horava, DO
• Lindsey Jones Knapke, M.D.
• Leena Laforte, PHARM.D.
• Legacy Ohio
• Wanda Ivelisse Malave
• Jessica Miller, MD
• Ryan Nethers
• Ohrh, LLC
• Ohrh, LLC

• Physical Therapist in Grandview Heights, OH
• Providers in Grandview Heights, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.