Rachael Long, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2085118 Issued in TX

Practice address

7080 Calder Ave
Beaumont, TX 77706-6052

Phone

(409) 861-1123

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

Yes

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1952886459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTER ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776301041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 CALDER AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066052",
            "telephone_number": "409-861-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "RACHAEL",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2085118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Randolph Lombardo, MD
• Daylon Long, FNP
• Donald Long, FNP-C
• Elizabeth M. Long, APRN-C
• Mallory Long
• Timothy Parker Long II
• Patricia Ann Longlois, OTR
• Dora Neli Lopez
• Laken Noelle Lopez, FNP-C
• Maria Lopez

• Physical Therapy Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.