Active NPI
Addie E Long, DPT
- Physical Therapist
- Leawood, KS
National Provider Identifier
1033601174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-05861
- Practice address
- 6701 W 121St St Ste 300
Leawood, KS 66209-2034 - Phone
- (913) 498-8492
- Fax
- (913) 498-8498
- NPI assigned
- Jun 5, 2018
- Sex
- Female
- 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 | 11-05861 | KS | Primary |
Addresses
Primary practice location
6701 W 121St St Ste 300
Leawood, KS 66209-2034
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6701 W 121 St
Overland Park, KS 66209-2034
Phone (913) 498-8492
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundational Concepts, Inc. | Physical Therapist | Current | Accepting new patients |
| Jennifer Worth MSW, LCSW, LLC | Current | Accepting new patients |
Locations
6701 W 121st St
Ste 300
Overland Park, KS 66209
Phone (816) 312-5451
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Kansas City, MO
- NPI 1598008294
KS, Physical Therapist
-
- Adult Mental Health Clinic/Center
- Kansas City, MO
- NPI 1104309822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1033601174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023017",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 W 121ST ST STE 300",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662092034",
"telephone_number": "913-498-8492",
"fax_number": "913-498-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "ADDIE",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-05861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.