Individual provider Active NPI

Kristen Leigh Long, PT, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1013759679
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23280 Issued in NC
Practice address
3708 Mayfair Street
Suite 120
Durham, NC 27707
Phone
(984) 215-4970
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 P23280 NC Primary

Addresses

Primary practice location

3708 Mayfair Street
Suite 120
Durham, NC 27707

Mailing address

3708 Mayfair Street
Suite 120
Durham, NC 27707
Phone (984) 215-4970

Other names 1

  • Kristen Leigh Powell Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001639 NC Practitioner - Physical Therapist in Private Practice 1153854880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Oct 9, 2025 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 9, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Oct 9, 2025 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Physical Therapist CurrentSince Sep 9, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 9, 2024 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

3708 Mayfair St
Ste 120
Durham, NC 27707
Phone (984) 215-4780

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2901 Blue Ridge Rd
Ste 102
Raleigh, NC 27607
Phone (919) 784-6878

Organizations & group practices 7

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1013759679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 MAYFAIR STREET",
            "address_2": "SUITE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "984-215-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 MAYFAIR STREET",
            "address_2": "SUITE 120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "984-215-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "POWELL",
            "middle_name": "LEIGH",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.