Individual provider Active NPI

Tenley Claire Delong, OT

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1992303424
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22193 Issued in FL
Practice address
494 E Illiana St
Orlando, FL 32806-5415
Phone
(407) 286-5422
NPI assigned
Oct 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR3436 AR
Occupational Therapist 225X00000X OT22193 FL Primary

Addresses

Primary practice location

494 E Illiana St
Orlando, FL 32806-5415

Mailing address

1811 Briarcliff Rd
Winter Park, FL 32792-2101
Phone (870) 291-2584

Other practice location 1

1900 Aldersgate Rd
Little Rock, AR 72205-6620
Phone (501) 821-5459

Other identifiers 1

IdentifierTypeStateIssuer
111332100MedicaidFL

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

LicenseStateTypeSpecialty
OTR3436ARMDOccupational Therapist
OT22193FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1992303424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 BRIARCLIFF RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922101",
            "telephone_number": "870-291-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 E ILLIANA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328065415",
            "telephone_number": "407-286-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Aldersgate Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056620",
            "country_code": "US",
            "telephone_number": "501-821-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELONG",
        "first_name": "TENLEY",
        "middle_name": "CLAIRE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3436",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111332100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.