Diane K Long, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003812 Issued in CT

Practice address

6 Greenwich Office Park
Greenwich, CT 06831-5151

Phone

(203) 869-1145

Fax

(203) 629-7606

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Connecticut IncGroup PAC ID 8325203649, 71 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 and National Provider Directory roles.

• Ivyrehab Connecticut, Inc.

  • Physical Therapist
  • Old Greenwich, CT
  • NPI 1265799365
  Medicare reassignment Care Compare group NPD
• Orthopaedic & Neurosurgery Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Greenwich, CT
  • NPI 1033318720

  Physical Therapist

  NPD (past)
• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174595953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-629-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GREENWICH OFFICE PARK",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315151",
            "telephone_number": "203-869-1145",
            "fax_number": "203-629-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3120763",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080003812CT04",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Wen-Chun Lo, ACNP
• Alyssa Lodato, FNP-C
• Caroline Kiernan Lodato, MD
• Jessica Elizabeth Lodato, MHC
• Paul Gregory Loftus, MS
• Justen Joseph Lopez, ATC, LAT, PES, GTS
• Heather Luckey
• Lisa J Luehman, FNP-BC, NP-C
• Christen Noel Luetzow, PHARM. D
• Giovanny Luna

• Physical Therapist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.