Active NPI
Tenley Claire Delong, OT
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1992303424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT22193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111332100 | Medicaid | FL |
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 |
|---|---|---|---|
| OTR3436 | AR | MD | Occupational Therapist |
| OT22193 | FL | MD | Occupational 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.