Jennifer Lynn Long, MOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119-007269 Issued in VA

Practice address

800 E Main St Ste 310
Wytheville, VA 24382-3311

Phone

(276) 228-6200

NPI assigned

Mar 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1942740089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 VERMILLION DR",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059349",
            "telephone_number": "276-970-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST STE 310",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243823311",
            "telephone_number": "276-228-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119-007269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyna Lea Lathem, MS, LPC
• Cristina M Lecaros-Trinidad, M.D,
• LHCG Cxxvii, LLC (Wythe Circle Palliative Care)
• Meghan Lineberry
• Tara Brewster Lineberry, LCSW
• Stephen Fredrick Lord, OD
• Jerry Lowry, DO
• Lindsay Alyson Lundy, LCSW-P
• Martha Luper, LPC
• Lutheran Family Service of Virginia, Inc.

• Occupational Therapist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.