Active NPI
Jordyn Brooke Long, PT, DPT
- Physical Therapist
- El Reno, OK
National Provider Identifier
1841083383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6692
- Practice address
- 1801 Parkview Dr
El Reno, OK 73036-2103 - Phone
- (405) 295-1475
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6692 | OK | Primary |
Addresses
Primary practice location
1801 Parkview Dr
El Reno, OK 73036-2103
Mailing address
317 Colton Way
Ada, OK 74820-4843
Phone (580) 235-1612
Other practice location 1
1445 Health Center Pkwy
Yukon, OK 73099-6492
Phone (405) 578-9770
Other names 1
- Jordyn Brooke Eaton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6692 | OK | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Indian Health Center | Current | Accepting new patients | |
| Watonga Indian Health Center | Current | Accepting new patients | |
| El Reno Indian Health Center | Current | Accepting new patients |
Locations
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1841083383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 COLTON WAY",
"city": "ADA",
"state": "OK",
"postal_code": "748204843",
"telephone_number": "580-235-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 PARKVIEW DR",
"city": "EL RENO",
"state": "OK",
"postal_code": "730362103",
"telephone_number": "405-295-1475"
}
],
"practiceLocations": [
{
"address_1": "1445 Health Center Pkwy",
"address_purpose": "LOCATION",
"city": "Yukon",
"state": "OK",
"postal_code": "730996492",
"country_code": "US",
"telephone_number": "405-578-9770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "JORDYN",
"middle_name": "BROOKE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDYN",
"last_name": "EATON",
"middle_name": "BROOKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.