Individual provider Active NPI

Denis E Long, PT

  • Physical Therapist
  • Westborough, MA
National Provider Identifier
1255686408
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20082 Issued in MA
Practice address
24 Lyman St Ste 120
Westborough, MA 01581-1484
Phone
(508) 393-0306
Fax
(508) 366-1413
NPI assigned
Jul 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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 20082 MA Primary
Physical Therapist 225100000X

Addresses

Primary practice location

24 Lyman St Ste 120
Westborough, MA 01581-1484

Mailing address

203 Oak St
Natick, MA 01760-1306
Phone (630) 296-2223

Other practice location 1

8 Brooks Rd
Wayland, MA 01778-4608
Phone (914) 787-0363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000519 MA Practitioner - Physical Therapist in Private Practice 3870742489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Physical Therapy LLCGroup PAC ID 1355375486, 21 clinicians

Practice addresses (Care Compare)

205 Turnpike Rd
Suite 3
Westborough, MA 01581-2916
Phone (508) 651-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy LLC Physical Therapist CurrentSince Feb 19, 2018 Accepting new patients
Rebound Physical Therapy LLC CurrentSince Feb 19, 2018 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients

Locations

203 Oak St
Natick, MA 01760
Phone (508) 647-3200

205 Turnpike Rd
Ste 3
Westborough, MA 01581
Phone (508) 329-1818

Organizations & group practices 3

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1255686408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST STE 120",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811484",
            "telephone_number": "508-393-0306",
            "fax_number": "508-366-1413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Brooks Rd",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MA",
            "postal_code": "017784608",
            "country_code": "US",
            "telephone_number": "914-787-0363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "DENIS",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20082",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.