Brian D Long, PT/ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013397 Issued in AZ

Practice address

2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168

Phone

(480) 964-2908

Fax

(480) 833-2136

NPI assigned

Aug 4, 2006

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Orthopedic Specialists of North America, PLLC

  dba OrthoArizona

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1770812828
  Medicare reassignment Care Compare group NPD
• Champion Physical Therapy & Athletic Rehabilitation, PC

  • Physical Therapist
  • Omaha, NE
  • NPI 1982613527
  NPD (past) Authorized official
• Orthopedic Specialists of North America, PLLC

  • Orthopaedic Surgery Physician
  • Mesa, AZ
  • NPI 1780906693
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1013925189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 E BANNER GATEWAY DR STE 200-250",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342168",
            "telephone_number": "480-964-2908",
            "fax_number": "480-833-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT/ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "013397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey Lohmann, AGACNP
• Jennifer Lohmeyer
• Farah Rehman Lokey, M.D.
• Kylie Brooke Lombardi, SLPA
• Anne Long, NURSING
• Christian Daniel Long, PA-C
• Lindsey Long, FNP-C
• Hannah Longacre
• Samantha Longe, LMSW
• Samuel Honorio Lopex

• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.