Individual provider Active NPI

Robert Allen Long, P.T.

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1326257486
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2220 Issued in OR
Practice address
6250 Commercial St N.E.
Salem, OR 97306
Phone
(503) 485-1666
Fax
(503) 581-6867
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2220 OR Primary

Addresses

Primary practice location

6250 Commercial St N.E.
Salem, OR 97306

Mailing address

853 Medical Center Dr NE
Salem, OR 97301-2752
Phone (503) 364-5313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000180 OR Practitioner - Physical Therapist in Private Practice 3577527860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Motion Physical Therapy, Inc.Group PAC ID 8426078361, 36 clinicians

Practice addresses (Care Compare)

732 Main St
Philomath, OR 97370-9725
Phone (541) 929-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2220ORMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Motion Physical Therapy, Inc. Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Capitol Physical Therapy, Inc Physical Therapist Past Accepting new patients
Capitol Physical and Hand Therapy, Inc Physical Therapist Past Accepting new patients
Pediatric Therapy Services Inc PastSince Feb 17, 2025 Accepting new patients

Locations

732 Main St
Philomath, OR 97370
Phone (541) 929-2255

Organizations & group practices 4

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1326257486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 MEDICAL CENTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012752",
            "telephone_number": "503-364-5313",
            "fax_number": "503-364-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 COMMERCIAL ST N.E.",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97306",
            "telephone_number": "503-485-1666",
            "fax_number": "503-581-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.