Active NPI
James Percy Long III, P.T, M.A., CSCS.
- Physical Therapist
- Cleveland, OH
National Provider Identifier
1598880429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 002017
- Practice address
- 1730 W. 25TH St.
Cleveland, OH 44113-3108 - Phone
- (216) 363-2288
- Fax
- (216) 696-7485
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 002017 | OH | Primary |
Addresses
Primary practice location
1730 W. 25TH St.
Cleveland, OH 44113-3108
Mailing address
3081 Coleridge Rd
Cleveland HTS, OH 44118-3555
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 002017 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598880429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3081 COLERIDGE RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441183555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W. 25TH ST.",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-363-2288",
"fax_number": "216-696-7485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JAMES",
"middle_name": "PERCY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "P.T, M.A., CSCS.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 002017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.