Active NPI
Crystopher J Long, PT
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1972145886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3642
- Practice address
- Parkway Post Acute Recovery Center
6312 N Portland
Oklahoma City, OK 73112 - Phone
- (405) 272-0700
- NPI assigned
- Oct 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3642 | OK | Primary |
Addresses
Primary practice location
Parkway Post Acute Recovery Center
6312 N Portland
Oklahoma City, OK 73112
Mailing address
2035 E Iron Ave Ste 224
Salina, KS 67401-3433
Phone (785) 407-0180
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3642 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1972145886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 E IRON AVE STE 224",
"city": "SALINA",
"state": "KS",
"postal_code": "674013433",
"telephone_number": "785-407-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARKWAY POST ACUTE RECOVERY CENTER",
"address_2": "6312 N PORTLAND",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73112",
"telephone_number": "405-272-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CRYSTOPHER",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "3642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.