Lauren Michelle Long, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3873 Issued in AL

Practice address

530 Sparkman St SW
Hartselle, AL 35640-3120

Phone

(256) 585-5925

NPI assigned

Feb 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Achievement Pediatric Therapies, LLC

  • Occupational Therapy Assistant
  • Hartselle, AL
  • NPI 1174088959

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1669937447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NESMITH RD",
            "city": "BLOUNTSVILLE",
            "state": "AL",
            "postal_code": "350316717",
            "telephone_number": "256-585-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SPARKMAN ST SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356403120",
            "telephone_number": "256-585-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "3873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336814",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Shelton Lentz, CRNP
• Lifecare of Alabama, Inc.
• Lifework Therapy Services, LLC
• Lighthouse Therapy Services, LLC
• Samantha Lightle
• Elizabeth H Lusk, PHARM. D.
• Brittany T Madden, SLPA
• Meredith Madison-Simpson, COTA
• Alexandra Dobbins Maner, PA-C
• Mark a. Hendrix DMD PC

• Occupational Therapy Assistant in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Occupational Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.