Active NPI
Michelle Martha Delong, LPTA
- Physical Therapy Assistant
- Dundalk, MD
National Provider Identifier
1982910592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A2086
- Practice address
- 40 S Dundalk Ave
Suite G-3
Dundalk, MD 21222-4267 - Phone
- (410) 285-0173
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | A2086 | MD | Primary |
Addresses
Primary practice location
40 S Dundalk Ave
Suite G-3
Dundalk, MD 21222-4267
Mailing address
11 Kathsway CT
Parkville, MD 21234-1449
Phone (443) 854-4718
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2086 | MD | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1982910592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 KATHSWAY CT",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212341449",
"telephone_number": "443-854-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S DUNDALK AVE",
"address_2": "SUITE G-3",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212224267",
"telephone_number": "410-285-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "MICHELLE",
"middle_name": "MARTHA",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MD",
"license": "A2086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dundalk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.