Active NPI
Jennifer Long, MPT
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1619199080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011186L
- Practice address
- 4146 Library Rd
Suite E
Pittsburgh, PA 15234-1350 - Phone
- (412) 833-6663
- NPI assigned
- May 3, 2007
- Sex
- Female
- 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 | PT011186L | PA | Primary |
Addresses
Primary practice location
4146 Library Rd
Suite E
Pittsburgh, PA 15234-1350
Mailing address
4119 Georgia St NW
Massillon, OH 44646-3266
Phone (330) 639-3191
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011186L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1619199080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 GEORGIA ST NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446463266",
"telephone_number": "330-639-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4146 LIBRARY RD",
"address_2": "SUITE E",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341350",
"telephone_number": "412-833-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JENNIFER",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2021-11-08",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011186L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.