Individual provider Active NPI

Robin Long, PTA

  • Physical Medicine & Rehabilitation Physician
  • East Meadow, NY
National Provider Identifier
1912428558
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
010665-1 Issued in NY
Practice address
2555 Hempstead Tpke Ste 1
East Meadow, NY 11554-2152
Phone
(516) 735-1018
Fax
(516) 735-3882
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 010665-1 NY Primary

Addresses

Primary practice location

2555 Hempstead Tpke Ste 1
East Meadow, NY 11554-2152

Mailing address

2555 Hempstead Tpke Ste 1
East Meadow, NY 11554-2152
Phone (516) 735-1018

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Physical Therapy & Wellness, P.C. CurrentSince Jul 24, 2022 Accepting new patients
RB Physical and Occupational Therapy PLLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

Organizations & group practices 2

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912428558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 HEMPSTEAD TPKE STE 1",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542152",
            "telephone_number": "516-735-1018",
            "fax_number": "516-735-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 HEMPSTEAD TPKE STE 1",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542152",
            "telephone_number": "516-735-1018",
            "fax_number": "516-735-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROBIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "010665-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.