MRS. TISH LEE LONG (NPI# 1174747398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174747398 |
| Entity Type | Individual |
| Full Name | MRS. TISH LEE LONG |
| Other Name | MRS. TISH LEE SAMBROOK |
| Credential | OTR |
| Practice Address |
1337 S International Pkwy Ste 1321 Lake Mary FL 32746-1402 |
| Practice Telephone | 4078330802 |
| Mailing Telephone | 4078330802 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT7361 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013428333 | Tish K. Long | Physical Therapist | 984b Laskin Rd, Virginia Beach, VA 23451-3905 | 2017-10-12 |
| Street Address |
1337 S INTERNATIONAL PKWY STE 1321 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134255763 | David P Whitaker | Physical Therapist | 1337 S International Pkwy, Ste 1321, Lake Mary, FL 32746-1402 | 2007-02-26 |
| 1659819365 | Ability Health Services and Rehabilitation Lp | Durable Medical Equipment & Medical Supplies | 1337 S International Pkwy, Suite 1321, Lake Mary, FL 32746-1402 | 2017-02-02 |
| 1134665466 | Brandon Michael Keilman | Physical Therapist | 1337 S International Pkwy, Ste 1321, Lake Mary, FL 32746-1402 | 2017-01-10 |
| 1194268532 | Molly Bowden | Physical Therapist | 1337 S International Pkwy, Lake Mary, FL 32746-1402 | 2016-12-01 |
| 1962861120 | Tezia Gonzales | Physical Therapist | 1337 S International Pkwy, Ste 1321, Lake Mary, FL 32746-1402 | 2016-02-16 |
| 1760873186 | Zabrina Santiago | Physical Therapy Assistant | 1337 S International Pkwy, Lake Mary, FL 32746-1402 | 2015-02-06 |
| 1215351572 | Kelly Bretzke | Physical Therapist | 1337 S International Pkwy, Ste 1321, Lake Mary, FL 32746-1402 | 2014-02-06 |
| 1942589825 | Marissa Lynn Shepherd | Physical Therapy Assistant | 1337 S International Pkwy, Lake Mary, FL 32746-1402 | 2011-08-10 |
| 1033414677 | Elizabeth Lara Chapman | Occupational Therapist | 1337 S International Pkwy, Suite 1321, Lake Mary, FL 32746-1402 | 2011-01-12 |
| 1164694816 | Erica Cristina Otero | Physical Therapy Assistant | 1337 S International Pkwy, Suite 1321, Lake Mary, FL 32746-1402 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154843787 | Karen Lopez Jimenez | Occupational Therapist | 100 Waymont Ct Ste 120, Lake Mary, FL 32746-3412 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902514 | The Gulfside Group, LLC | Occupational Therapist | 711 Crystal Lake Rd, Lutz, FL 33548-6431 | 2020-08-14 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1326689209 | Healing Hands Therapy Group | Occupational Therapist | 1699 Sw 27th Ave Fl 3, Miami, FL 33145-2074 | 2019-10-02 |
| 1093222820 | Janna Randolph | Occupational Therapist | 4551 N Davis Hwy Ste C, Pensacola, FL 32503-2732 | 2018-01-02 |
| 1255860433 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9021 Oakhurst Rd Ste A, Seminole, FL 33776-2156 | 2017-06-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1992156046 | Rachelle Delucas | Occupational Therapist | 7800 Sw 103rd Ave, Gainesville, FL 32608-6208 | 2016-06-29 |
| 1346658481 | Andrew Craig | Occupational Therapist | 4420 Sheridan St Ste A, Hollywood, FL 33021-3552 | 2014-07-31 |
| 1194152439 | Life In Motion Physical & Hand Therapy | Occupational Therapist | 9125 Us Highway 19 N, Pinellas Park, FL 33782-5406 | 2013-10-01 |
| 1083910061 | Josee Scully | Occupational Therapist | 430 Morton Plant St Ste 101, Clearwater, FL 33756-3397 | 2011-02-08 |
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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.