Longo Physical Therapy P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LONGO PHYSICAL THERAPY P.C.

Doing business as

Longo PT

Practice address

29105 Valley Center Rd Ste 125
Valley Center, CA 92082-6536

Phone

(760) 297-4688

Fax

(888) 529-1874

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Brett J Longo, PTNPI 1407956329

Title

Owner/Ceo

Phone

(760) 297-4688

Specialties & licenses 1

Addresses

Other names 1

• Longo PT Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett J Longo, RPT

  • Physical Therapist
  • Valley Center, CA
  • NPI 1407956329
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1962114702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27075 SUNNINGDALE WAY",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826642",
            "telephone_number": "760-297-4688",
            "fax_number": "888-529-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29105 VALLEY CENTER RD STE 125",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826536",
            "telephone_number": "760-297-4688",
            "fax_number": "888-529-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGO PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "760-297-4688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Longo PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Minerva Kurtz, M.S.W.
• Stephanie Marie Lastra, HHP, LMT
• Raelynn Marie Lavine, RN
• Daniel J. Lee, D.D.S.
• Lorelei Lazarte Legaspi
• Brett J Longo, RPT
• Crystal Ann Luna, MFT
• Juliana Manami Lunde
• John Maher, D.C.
• Karen Lee Manchester, FNP-C

• Physical Therapy Clinic/Center in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.