Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Elizabeth Long, OT

Individual provider Occupational Therapist · NPI 1407592579

Mary Elizabeth Long, OT is an Occupational Therapist in Private Practice in Cordova, Tennessee. Qualified in 2022, 4 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1535 Appling Care Ln
Cordova, TN 38016-4994
Phone: (901) 203-5228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1407592579
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 10, 2022
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cordova