TRAVIS KYLE LONG (NPI# 1235421256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235421256 |
| Entity Type | Individual |
| Full Name | TRAVIS KYLE LONG |
| Credential | ATC |
| Practice Address |
4901 W Reno Ave Ste 500 Oklahoma City OK 73127-6346 |
| Mailing Address |
1110 N Lee Ave Oklahoma City OK 73103-2612 |
| Practice Telephone | 4052309290 |
| Practice Fax Number | 4052309284 |
| Mailing Telephone | 4052309000 |
| Mailing Fax Number | 4052309175 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
608 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104262781 | Travis David Long | Physician Assistant | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2013-05-22 |
| Street Address |
4901 W RENO AVE STE 500 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73127-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298981 | Kristine Cox | Physical Therapist | 4901 W Reno Ave, Suite 500, Oklahoma City, OK 73127-6346 | 2005-07-12 |
| 1548382047 | Cindy L Hudspeth | Physician Assistant | 4901 W Reno Ave, Suite 500, Oklahoma City, OK 73127-6346 | 2007-04-04 |
| 1720015241 | Bernadette Marie Dube | Physician Assistant | 4901 W Reno Ave, Oklahoma City, OK 73127-6346 | 2006-06-28 |
| 1770531329 | James Shippey Jones | Physical Therapist | 4901 W Reno Ave, Oklahoma City, OK 73127-6346 | 2006-05-05 |
| 1073512711 | Randel Dean Estep | Preventive Medicine | 4901 W Reno Ave, Ste 500, Oklahoma City, OK 73127-6346 | 2005-07-15 |
| 1891793857 | Joel Scot Steele | Physician Assistant | 4901 W Reno Ave, Ste 500, Oklahoma City, OK 73127-6346 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
| 1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
| 1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
| 1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
| Find all providers in zip 73127 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043012 | Maria Isabel Rendon | Specialist/Technologist | 1817 Nw 15th St, Oklahoma City, OK 73106-2023 | 2018-11-28 |
| 1306353685 | Mallery Gray Gannaway | Specialist/Technologist | 12301 N Macarthur Blvd Apt 304, Oklahoma City, OK 73142-3039 | 2018-01-08 |
| 1679092662 | Allison Hadley | Specialist/Technologist | 10900 S Pennsylvania Ave, Oklahoma City, OK 73170-4244 | 2017-09-12 |
| 1609302215 | Yolanda Denise Zamarripa | Specialist/Technologist | 4436 Nw 36th St Apt 6, Oklahoma City, OK 73112-2720 | 2017-05-03 |
| 1972038065 | Rainee Lyne Ball | Specialist/Technologist | 5937 Nw 59th Ct, Oklahoma City, OK 73122-7114 | 2017-04-26 |
| 1326571860 | Damon Glass | Specialist/Technologist | 3110 Sw 89th St Ste C, Oklahoma City, OK 73159-7920 | 2017-04-11 |
| 1205283819 | Jessica Jenkins | Specialist/Technologist | 14400 N Portland Ave, Oklahoma City, OK 73134-4007 | 2016-05-24 |
| 1760849350 | Alisha Grisby | Specialist/Technologist | 11605 Copper Trails Ln, Oklahoma City, OK 73170-4486 | 2016-01-27 |
| 1700243532 | Howard Collin Gentry | Specialist/Technologist | 1231 Nw 79th St, Oklahoma City, OK 73114-1522 | 2016-01-25 |
| 1578938221 | Jeremy Randall | Specialist/Technologist | 1820 Nw 17th St, Oklahoma City, OK 73106-1802 | 2015-12-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.