Individual provider Active NPI

Andrew Charles Longley, DPT

  • Physical Therapist
  • Londonderry, NH
National Provider Identifier
1861824237
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4213 Issued in NH
Practice address
4 Orchard View Dr Unit 19a
Londonderry, NH 03053-3336
Phone
(603) 216-1950
Fax
(603) 552-3127
NPI assigned
Aug 7, 2013
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0094908 VT
Physical Therapist 225100000X 4213 NH Primary

Addresses

Primary practice location

4 Orchard View Dr Unit 19a
Londonderry, NH 03053-3336

Mailing address

4 Orchard View Dr Unit 19a
Londonderry, NH 03053-3336
Phone (603) 216-1950

Other identifiers 1

IdentifierTypeStateIssuer
3111799MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131107001662 MA Practitioner - Physical Therapist in Private Practice 2567697063
I20170621000805 NH Practitioner - Physical Therapist in Private Practice 2567697063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNH Therapeutics LLCGroup PAC ID 8921408808, 4 clinicians

Practice addresses (Care Compare)

4 Orchard View Dr
Unit 19a
Londonderry, NH 03053-3336
Phone (603) 216-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20803MAMDDentist
4213NHMDPhysical Therapist
040.0094908VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Physical Therapy Physical Therapist CurrentSince May 1, 2020 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Oct 1, 2018 Accepting new patients
SNH Therapeutics LLC Physical Therapist CurrentSince Mar 13, 2021 Accepting new patients
Coppola Physical Therapy Ferry Physical Therapist Past Accepting new patients

Locations

10 Jean Ave
Ste 10
Chelmsford, MA 01824
Phone (978) 441-9452

1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225

885 Main St
Ste 4
Tewksbury, MA 01876
Phone (978) 851-8766

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

19 A St
Londonderry, NH 03038
Phone (603) 216-1950

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1861824237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ORCHARD VIEW DR UNIT 19A",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533336",
            "telephone_number": "603-216-1950",
            "fax_number": "603-216-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ORCHARD VIEW DR UNIT 19A",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533336",
            "telephone_number": "603-216-1950",
            "fax_number": "603-552-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0094908",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111799",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.