Rebecca Long, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0013988 Issued in CO

Practice address

518 28 Rd
Grand Junction, CO 81501-6556

Phone

(970) 773-1423

NPI assigned

Jan 31, 2023

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

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1790481950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 GILSONITE AVE",
            "city": "MACK",
            "state": "CO",
            "postal_code": "815251004",
            "telephone_number": "970-773-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 28 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016556",
            "telephone_number": "970-773-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "REBECCA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0013988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1865",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Locust Durable Medical Equipment, LLC
• Amanda Logan, LPN
• Kimberly Anne London, PT, DPT
• Aaron D Long, MD
• Johnna Jolyne Long
• Summer Dawn Long, PAC
• Betsy Longenecker, MD
• Andriana Longwell, CACI
• Daniel A Lonquist, DC
• Irene Lopez Almond

• Massage Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.