Individual provider Active NPI

Richard Long

  • Physical Therapist
  • Dorchester, MA
National Provider Identifier
1003457813
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24456 Issued in MA
Practice address
960 William T Morrissey Blvd
Dorchester, MA 02122-3206
Phone
(617) 506-7210
NPI assigned
Oct 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24456 MA Primary

Addresses

Primary practice location

960 William T Morrissey Blvd
Dorchester, MA 02122-3206

Mailing address

960 William T Morrissey Blvd
Dorchester, MA 02122-3206
Phone (617) 506-7210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017000888 MA Practitioner - Physical Therapist in Private Practice 8022349372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescription Orthopedic and Sports TherapyGroup PAC ID 1355335977, 3 clinicians
Long Haul Physical Therapy LLCGroup PAC ID 6002309952, 2 clinicians

Practice addresses (Care Compare)

223 Chief Justice Cushing Hwy
Suite LL4
Cohasset, MA 02025-1391
Phone (781) 838-8767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24456MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Physical Therapy, Inc. Physical Therapist CurrentSince Sep 14, 2019 Accepting new patients
Long Haul Physical Therapy LLC Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Prescription Orthopedic and Sports Therapy Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients

Locations

223 Chief Justice Cushing Hwy
Ste LL4
Cohasset, MA 02025
Phone (781) 383-8767

960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1003457813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WILLIAM T MORRISSEY BLVD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223206",
            "telephone_number": "617-506-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WILLIAM T MORRISSEY BLVD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223206",
            "telephone_number": "617-506-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.