SHANNON OLIVIA LONG (NPI# 1992299358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992299358 |
| Entity Type | Individual |
| Full Name | SHANNON OLIVIA LONG |
| Credential | PT, DPT |
| Practice Address |
10780 Santa Monica Blvd Ste 405 Los Angeles CA 90025-7655 |
| Practice Telephone | 3102340300 |
| Mailing Telephone | 3102340300 |
| Mailing Fax Number | 3102340304 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 291794 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 900257655 | 3102340300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1760603385 | Shannon Dawn Long | Occupational Therapy Assistant | 11080 E. Gypsy Lane Rd., Bowling Green, OH 43402 | 2007-05-01 |
| 1588111090 | Shannon Freshwater Long | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2016-09-01 |
| 1306259916 | Shannon Rose Long | Family Medicine | 9228 Medical Plaza Dr, Charleston, SC 29406-9125 | 2014-06-11 |
| 1013286848 | Shannon E Long | Physical Therapist | 3927 Rucker Ave, Everett, WA 98201-4833 | 2011-12-23 |
| 1225265432 | Shannon Long | Speech-Language Pathologist | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2009-06-15 |
| Street Address |
10780 SANTA MONICA BLVD STE 405 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-7655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611293 | Christina Yamada | Occupational Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2012-09-10 |
| 1164070207 | Rachel Ann Gaughenbaugh | Occupational Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2019-09-02 |
| 1942862693 | Madalyn Marie Petrovich | Speech-Language Pathologist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2019-07-02 |
| 1528549318 | Lesley Lai | Occupational Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2018-08-28 |
| 1326531153 | Curtiss Jenni Benger | Physical Therapist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025-7655 | 2018-06-06 |
| 1467846584 | Jaclyn Steinberg | Speech-Language Pathologist | 10780 Santa Monica Blvd Ste 405, Los Angeles, CA 90025 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452511 | Yacoub Abdallah | Physical Therapist | 3415 S Sepulveda Blvd Ste 550, Los Angeles, CA 90034-6984 | 2020-09-22 |
| 1487268330 | Katrina Mae Balacano Corpuz | Physical Therapist | 258 N Bonnie Brae St Apt 1, Los Angeles, CA 90026-5369 | 2020-09-08 |
| 1376152066 | 2be-fit Inc | Physical Therapist | 811 S Bedford St Apt 301, Los Angeles, CA 90035-1819 | 2020-07-28 |
| 1811526320 | Eunice Shepherd | Physical Therapist | 7077 Willoughby Ave Apt 617, Los Angeles, CA 90038-2389 | 2020-04-06 |
| 1982233805 | Dennis Martin Clarke | Physical Therapist | 1420 S Bedford St Apt 301, Los Angeles, CA 90035-3585 | 2020-04-02 |
| 1669010500 | Paulina Jessica Tapia | Physical Therapist | 350 S Reno St Apt 406, Los Angeles, CA 90057-1194 | 2019-12-10 |
| 1427695774 | Ingrid Michelle Naveira | Physical Therapist | 126 Cheesbroughs Ln, Los Angeles, CA 90063-2839 | 2019-12-05 |
| 1932743515 | Jacob Henry Jaffe | Physical Therapist | 10474 Santa Monica Blvd Ste #435, Los Angeles, CA 90025-6932 | 2019-11-06 |
| 1902448400 | Kristian Noguchi-salazar | Physical Therapist | 1335 N La Brea Ave Ste 3, Los Angeles, CA 90028-7565 | 2019-10-16 |
| 1306496740 | Lilit Petrosyan | Physical Therapist | 5419 Hollywood Blvd Ste C128, Los Angeles, CA 90027-3480 | 2019-09-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.