Active NPI
Daniel Steven Long, DPT OCS
- Physical Therapist
- Coral Gables, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 30153
- Practice address
- 2600 S Douglas Rd Ste 908
Coral Gables, FL 33134-6142 - Phone
- (786) 423-3437
- NPI assigned
- Mar 10, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 30153 | FL | Primary |
Addresses
Primary practice location
2600 S Douglas Rd Ste 908
Coral Gables, FL 33134-6142
Mailing address
2600 S Douglas Rd Ste 908
Coral Gables, FL 33134-6142
Phone (786) 423-3437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 30153 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolanos Associates, LLC. | Physical Therapist | Current | Accepting new patients |
Locations
4801 S University Dr
Ste 101
Davie, FL 33328
Phone (786) 259-0300
1150 NW 72nd Ave
Ste 720
Miami, FL 33126
Phone (305) 599-1990
13335 SW 124th St
Ste 202
Miami, FL 33186
Phone (786) 259-0300
15751 Sheridan St
Southwest Ranches, FL 33331
Phone (786) 877-2039
Organizations & group practices 1
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": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1013300409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S DOUGLAS RD STE 908",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331346142",
"telephone_number": "786-423-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S DOUGLAS RD STE 908",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331346142",
"telephone_number": "786-423-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DANIEL",
"middle_name": "STEVEN",
"credential": "DPT OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-10",
"last_updated": "2021-08-16",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 30153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.