NATHAN D LONG (OTR/L) – Occupational Therapist, NPI 1740489293

NATHAN D LONG (OTR/L) is a healthcare provider. based in Idaho falls, Idaho. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. OT00004503 (WA). The NPI Number for NATHAN D LONG (OTR/L) is 1740489293

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN D LONG (OTR/L)
NPI
1740489293
Phone
(208) 523-7571
Address
564 S WOODRUFF AVE
Enumeration Date
15 July 2007
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085237571
Graduation Year
2007 (19 years ago)
PAC ID
1153574033
Group Practice PAC ID
5496002396
Professional Enrollment ID
I20121228000067
Address ID
ID834015298ID564XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

70 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in ID

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Provider Addresses for NATHAN D LONG (OTR/L)

  • 564, South Woodruff Avenue, Idaho Falls, Bonneville County, Idaho, 83401, United States

    IDAHO FALLS, ID 83401

    Phone: (208) 523-7571

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121228000067IOccupational Therapist In Private PracticeIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77771$0
97140Therapy procedure using manual technique, each 15 minutes76969$0
97035Application of ultrasound, each 15 minutes41254$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care36037$0
97018Application of hot wax bath23034$0
View full utilization report →

Insurance plans in this area (ZIP 83401)

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Provider's Procedures

NATHAN D LONG (OTR/L) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes26235

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496002396View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeID

Reviews

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Frequently asked questions

How do I look up NATHAN D LONG (OTR/L) by NPI?
Use NPI 1740489293 when you need to reference NATHAN D LONG (OTR/L) in forms, claims, or directories.
Does this profile mean NATHAN D LONG (OTR/L) is currently active?
Yes — NATHAN D LONG (OTR/L) appears active in the national provider directory.
What does NATHAN D LONG (OTR/L) treat or focus on?
Patients typically see NATHAN D LONG (OTR/L) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is NATHAN D LONG (OTR/L)'s primary listing?
We display Idaho Falls, Idaho because that is what the record indicates for NATHAN D LONG (OTR/L).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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