Individual provider Active NPI

Tierra Long, OTR/L

  • Occupational Therapist
  • Decatur, GA
National Provider Identifier
1972034684
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006410 Issued in GA
Practice address
4080 Fireoak Dr
Decatur, GA 30032-3881
Phone
(301) 437-1241
Fax
(301) 437-1241
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006410 GA Primary

Addresses

Primary practice location

4080 Fireoak Dr
Decatur, GA 30032-3881

Mailing address

4080 Fireoak Dr
Decatur, GA 30032-3881
Phone (301) 437-1241

Other names 1

  • Miss Tierra Jon'Te Long Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105003166 GA Practitioner - Occupational Therapist in Private Practice 5698188993 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT006410GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Aug 12, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Aug 12, 2025 Accepting new patients
The Long Institute of Therapy Services LLC Occupational Therapist CurrentSince Jan 31, 2021 Accepting new patients

Locations

1860 Atkinson Rd
Lawrenceville, GA 30043
Phone (706) 948-2773

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 3

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1972034684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 FIREOAK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323881",
            "telephone_number": "301-437-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 FIREOAK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323881",
            "telephone_number": "301-437-1241",
            "fax_number": "301-437-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TIERRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIERRA",
            "last_name": "LONG",
            "middle_name": "JON'TE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.