Individual provider Active NPI

Daniel Steven Long, DPT OCS

  • Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1013300409
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 30153 Issued in FL
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

Updated by the provider on Aug 16, 2021

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 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

Enrollment IDStateProvider typePAC IDDetails
I20190906001264 FL Practitioner - Physical Therapist in Private Practice 6103155775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 30153FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolanos Associates, LLC. Physical Therapist CurrentSince Oct 28, 2025 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.

Verify at the official NPI Registry.