Active NPI
Korey J Long, OT
- Occupational Therapist
- Pittsburgh, PA
National Provider Identifier
1902105596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009495
- Practice address
- 6301 Forbes Ave
Suite 120
Pittsburgh, PA 15217-1725 - Phone
- (412) 421-7400
- NPI assigned
- Mar 22, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009495 | PA | Primary |
Addresses
Primary practice location
6301 Forbes Ave
Suite 120
Pittsburgh, PA 15217-1725
Mailing address
6301 Forbes Ave
Suite 120
Pittsburgh, PA 15217-1725
Phone (412) 421-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11528085 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC009495 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1902105596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 FORBES AVE",
"address_2": "SUITE 120",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171725",
"telephone_number": "412-421-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 FORBES AVE",
"address_2": "SUITE 120",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171725",
"telephone_number": "412-421-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KOREY",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11528085",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.