MS. JAYNE ELLEN LONG (NPI# 1093848996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093848996 |
| Entity Type | Individual |
| Full Name | MS. JAYNE ELLEN LONG |
| Credential | PT |
| Practice Address |
2805 Campus Dr Plymouth MN 55441-2676 |
| Mailing Address |
2805 Campus Dr Ste 345 Plymouth MN 55441-2679 |
| Practice Telephone | 7632365555 |
| Practice Fax Number | 7632365557 |
| Mailing Telephone | 7632365555 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2702 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2805 CAMPUS DR |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428223 | Wayzata Orthopedic's P.a. | Orthopaedic Surgery | 2805 Campus Dr, Ste 425, Plymouth, MN 55441-2680 | 2005-06-23 |
| 1215308622 | Lauren Joy Hager | Nurse Practitioner | 2805 Campus Dr, 125, Plymouth, MN 55441-2676 | 2015-10-12 |
| 1316340128 | Lana Abboud | Psychologist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2014-10-07 |
| 1598165664 | Westhealth Surgery Center LLC | Clinic/Center | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-26 |
| 1144629262 | Timothy James Menden | Physical Therapist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2014-08-14 |
| 1114332301 | Sp Plastic Surgery, LLC | Plastic Surgery | 2805 Campus Dr, Suite 485, Plymouth, MN 55441-2676 | 2014-06-25 |
| 1376893818 | Colin Joseph Maguire | Dentist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-09-12 |
| 1235498619 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2676 | 2012-05-07 |
| 1578821997 | Andrew Steven Houghton | Family Medicine | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2012-04-24 |
| 1811263551 | Jacob Joseph Haws | Physical Therapist | 2805 Campus Dr, Suite 115, Plymouth, MN 55441-2676 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568686004 | Rebecca Jean Smith | Physical Therapist | 818 E Clifford St, Plymouth, WI 53073-2436 | 2007-04-13 |
| 1740825991 | Kaitlyn Marie Burley | Physical Therapist | 4155 County Road 101 N, Plymouth, MN 55446-2307 | 2019-11-12 |
| 1295131357 | Eva Gabriela Martinez | Physical Therapist | 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2649 | 2014-11-17 |
| 1508101544 | Markus M Mijnsbergen | Physical Therapist | 650 S Main St, Plymouth, MI 48170-1711 | 2012-12-03 |
| 1972878593 | Heinrich Oskar Comuth | Physical Therapist | 650 S Main St, Plymouth, MI 48170-1711 | 2012-03-15 |
| 1912224106 | Phillip Norman Schuyten | Physical Therapist | 9368 N Lilley Rd, Plymouth, MI 48170-4610 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
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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.