Provider Demographics
NPI:1437379443
Name:MCCAIN, KY-ANN LONG (MS, PT)
Entity type:Individual
Prefix:
First Name:KY-ANN
Middle Name:LONG
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:MRS
Other - First Name:KY-ANN
Other - Middle Name:LONG
Other - Last Name:MCCAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, PT
Mailing Address - Street 1:480 N PINE AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9700
Mailing Address - Country:US
Mailing Address - Phone:407-883-0954
Mailing Address - Fax:
Practice Address - Street 1:398 FREEMAN ST
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4171
Practice Address - Country:US
Practice Address - Phone:407-682-3600
Practice Address - Fax:407-682-3600
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT-21064225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist