Kendra Erin Long, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1355919 Issued in TX

Practice address

400 W Arbrook Blvd Ste 151
Arlington, TX 76014-3181

Phone

(817) 618-0209

NPI assigned

Jan 19, 2022

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

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy PCGroup PAC ID 0143503607, 9 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.

• Restore Physical Therapy PC

  • Physical Therapist
  • Boise, ID
  • NPI 1790236511
  Medicare reassignment Care Compare group NPD
• Scolispine PLLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1285142323

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1306598578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143181",
            "telephone_number": "817-618-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143181",
            "telephone_number": "817-618-0209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Long Prairie Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Flower Mound",
            "state": "TX",
            "postal_code": "750222953",
            "country_code": "US",
            "telephone_number": "972-556-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KENDRA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1355919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonestar Famicare Clinic
• Long Term Health Careline Corp
• Cameron Wade Long, LPC
• Dejanae Long
• Jun Long, MD, PHD
• Matthew Long
• Breanna Longenette, PT, DPT
• Longhorn Assist PLLC
• Michael Anthony Longo, MD
• Kim Longoria

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.