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

Nikita Long, OTR/L

Individual provider Occupational Therapist · NPI 1881424711

Nikita Long, OTR/L is an Occupational Therapist in Private Practice in Atascadero, California. Qualified in 2023, 3 years ago. Practices with Department of State Hospitals, a 276-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

10333 El Camino Real
Atascadero, CA 93422-5808
Phone: (805) 468-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1051 Las Tablas Rd, Templeton, CA 93465-5603 — (805) 434-4885

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 25868 (CA)

Record details

NPI number1881424711
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Department Of State Hospitals — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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