Individual provider Active NPI

Marie Camille Long, DPT

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1326697707
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20712 Issued in CO
Practice address
15530 W 64TH Ave Unit E
Arvada, CO 80007-6874
Phone
(303) 424-4589
Fax
(303) 424-4632
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24377 MA
Physical Therapist 225100000X 64688 OR
Physical Therapist 225100000X 20712 CO Primary

Addresses

Primary practice location

15530 W 64TH Ave Unit E
Arvada, CO 80007-6874

Mailing address

15530 W 64TH Ave Unit E
Arvada, CO 80007-6874
Phone (303) 424-4589

Other practice location 1

1515 W Main St Ste E
Molalla, OR 97038-7363
Phone (503) 776-0970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240117002987 OR Practitioner - Physical Therapist in Private Practice 4385974328 Reassigns benefits to 1 organization
I20250808001489 CO Practitioner - Physical Therapist in Private Practice 4385974328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Medical Group Denver LLCGroup PAC ID 0840513552, 571 clinicians
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians
Panorama Orthopedics and Spine Center PCGroup PAC ID 8426961087, 316 clinicians

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

Denver, CO 80246
Phone (866) 525-3175

15530 W 64TH Ave Unit E
Rocky Mountain Spine and Sport
Arvada, CO 80007-6874
Phone (303) 424-4589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20712COMDPhysical Therapist
24377MAMDPhysical Therapist
64688ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jul 24, 2025 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Dec 5, 2023 Accepting new patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jul 24, 2025 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Dec 5, 2023 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients

Locations

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

15530 W 64th Ave
Unit E
Arvada, CO 80007
Phone (303) 424-4589

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

1515 W Main St
Ste E
Molalla, OR 97038
Phone (503) 776-0970

1424 Molalla Ave
Oregon City, OR 97045
Phone (503) 744-4916

Organizations & group practices 8

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1326697707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-424-4589",
            "fax_number": "303-424-4632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 W Main St Ste E",
            "address_purpose": "LOCATION",
            "city": "Molalla",
            "state": "OR",
            "postal_code": "970387363",
            "country_code": "US",
            "telephone_number": "503-776-0970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARIE",
        "middle_name": "CAMILLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64688",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "20712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.