Matthew Adam Longfellow, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT015321 Issued in OH

Practice address

1195 Chesapeake Ave
Columbus, OH 43212-2238

Phone

(614) 342-0027

NPI assigned

Dec 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1780156810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 CHESAPEAKE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122238",
            "telephone_number": "614-342-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 CHESAPEAKE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122238",
            "telephone_number": "614-342-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGFELLOW",
        "first_name": "MATTHEW",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT015321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Long III, PHARMD
• Victoria Suzanne Long, PT, DPT
• Yolanda Michelle Long
• Doris A Longalong, RN
• Adam C Longberry, RN
• Lori Ann Longhenry, LPN
• Lisa Longo, LPCC
• Sadie Longo
• Johanna Longoria
• Longterm Lodging Inc (WeCare Health Facility)

• Orthopedic Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Orthopedic Physical Therapist in Ohio

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