Individual provider Active NPI

Alexis Keenan Long, MS, OTR/L

  • Occupational Therapist
  • Lewes, DE
National Provider Identifier
1639942972
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
701 Savannah Rd Unit A1
Lewes, DE 19958-1550
Phone
(302) 644-2530
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

701 Savannah Rd Unit A1
Lewes, DE 19958-1550

Mailing address

701 Savannah Rd Unit A1
Lewes, DE 19958-1550
Phone (302) 644-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001221 DE Practitioner - Occupational Therapist in Private Practice 0648621284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

701 Savannah Rd
Suite A1
Lewes, DE 19958-1550
Phone (302) 644-2530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Therapy Services, LLC Occupational Therapist CurrentSince Dec 1, 2023 Accepting new patients
Spine and Orthopedic Specialists Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients
Spine and Orthopedic Specialists CurrentSince Aug 1, 2025 Accepting new patients
Dynamic Therapy Services LLC Occupational Therapist CurrentSince Dec 1, 2023 Accepting new patients

Locations

701 Savannah Rd
Ste A1
Lewes, DE 19958
Phone (302) 644-2530

119 W 3rd St
Ste 1
Lewes, DE 19958
Phone (302) 291-2587

17637 Shady Rd
Ste 104
Lewes, DE 19958
Phone (302) 291-2587

1101 Twin C Ln
Ste 203
Newark, DE 19713
Phone (302) 633-1280

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1639942972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SAVANNAH RD UNIT A1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581550",
            "telephone_number": "302-644-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SAVANNAH RD UNIT A1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581550",
            "telephone_number": "302-644-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ALEXIS",
        "middle_name": "KEENAN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.