Lori Long Root, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1315 Issued in FL

Practice address

932 Oakfield Dr
Brandon, FL 33511-4950

Phone

(813) 654-1410

Fax

(813) 657-9544

NPI assigned

Oct 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Jo Long Former name

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.

• Rehabclinics SPT Inc

  dba NovaCare Rehabilitation

  • Physical Therapist
  • Eldersburg, MD
  • NPI 1164427092

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1730656315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 S SHORE CREST CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093623",
            "telephone_number": "813-287-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114950",
            "telephone_number": "813-654-1410",
            "fax_number": "813-657-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "LORI",
        "middle_name": "LONG",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LONG",
            "middle_name": "JO",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Elena Romero, AU.D.
• Romet Healthcare Services
• Romy Care LLC
• Gary Ronay, M.D.
• Root Cause Functional Family Medicine, P.a.
• Jose L Roque Jr., MSW, RCSWI
• Yolayda Roque, APRN
• Yllen Marie Rosa Coriano, SLPA,RBT
• Ketty Rosa
• Maria Rosa

• Occupational Therapist in Brandon, FL
• Providers in Brandon, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.