Individual provider Active NPI

Bryanne Long, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1104651017
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12510 Issued in SC
Practice address
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Phone
(803) 509-6880
Fax
(803) 760-7483
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP048940T GA
Physical Therapist 225100000X 12510 SC Primary

Addresses

Primary practice location

130 Forum Dr Ste 13
Columbia, SC 29229-7943

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

925 Garrett St SE Ste J
Atlanta, GA 30316-6833
Phone (404) 624-5407

Other practice location 2

254 Robert C Daniel Jr Pkwy Ste 4B
Augusta, GA 30909-0812
Phone (706) 723-5795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240923002561 SC Practitioner - Physical Therapist in Private Practice 6204377872 Reassigns benefits to 3 organizations
I20251119001175 GA Practitioner - Physical Therapist in Private Practice 6204377872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Drayer Physical Therapy-South Carolina ,LLCGroup PAC ID 7315171394, 43 clinicians
Benchmark Physical Therapy, IncGroup PAC ID 1557395209, 69 clinicians

Practice addresses (Care Compare)

1000 Tanner Ford Blvd
Suite 370
Hanahan, SC 29410-4712
Phone (843) 718-1058

130 Forum Dr
Suite 13
Columbia, SC 29229-7943
Phone (803) 509-6880

155 Medical Way a
Riverdale, GA 30274-4940
Phone (770) 991-2747

929 N Lake Dr
Suite C
Lexington, SC 29072-2137
Phone (803) 821-9514

961 Roberts Branch Pkwy
Suite 113
Columbia, SC 29203-9150
Phone (803) 675-5111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP048940TGAMDPhysical Therapist
12510SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Health Services Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Oct 6, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Independent Physical Therapy of Georgia , LLC Physical Therapist Past Accepting new patients
Benchmark Physical Therapy, Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

155 Medical Way
Ste A
Riverdale, GA 30274
Phone (770) 991-2747

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 12

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": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1104651017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FORUM DR STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297943",
            "telephone_number": "803-509-6880",
            "fax_number": "803-760-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Garrett St SE Ste J",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303166833",
            "country_code": "US",
            "telephone_number": "404-624-5407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 Robert C Daniel Jr Pkwy Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309090812",
            "country_code": "US",
            "telephone_number": "706-723-5795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRYANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP048940T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.