Active NPI
Melissa J Long
Doing business as Longevity Pelvic Health and Wellness
- Physical Therapist
- Wildwood Crest, NJ
National Provider Identifier
1679290217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MELISSA J LONG
- Doing business as
- Longevity Pelvic Health and Wellness
Melissa Long PT, DPT - Practice address
- 128 W Heather Rd
Wildwood Crest, NJ 08260-1326 - Phone
- (609) 923-6875
- NPI assigned
- Oct 25, 2022
- Last updated
- Oct 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Joan Long, PT, DPT
- Title
- Physical Therapist
- Phone
- (609) 923-6875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
128 W Heather Rd
Wildwood Crest, NJ 08260-1326
Mailing address
128 W Heather Rd
Wildwood Crest, NJ 08260-1326
Phone (609) 923-6875
Other names 2
- Longevity Pelvic Health and Wellness
- Melissa Long PT, DPT
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Cape May Court House, NJ
- NPI 1114319449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1679290217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 W HEATHER RD",
"city": "WILDWOOD CREST",
"state": "NJ",
"postal_code": "082601326",
"telephone_number": "609-923-6875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 W HEATHER RD",
"city": "WILDWOOD CREST",
"state": "NJ",
"postal_code": "082601326",
"telephone_number": "609-923-6875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA J LONG",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "JOAN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "609-923-6875",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Longevity Pelvic Health and Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Melissa Long PT, DPT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wildwood Crest, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.