Adam Long, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017822 Issued in MI

Practice address

1331 Lake Dr SE
Suite 105
Grand Rapids, MI 49506-1674

Phone

(616) 248-9842

NPI assigned

Aug 11, 2016

Last updated

Feb 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, PA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Invictus Physical Therapy LLCGroup PAC ID 5092184515, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Invictus Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Philadelphia, PA
  • NPI 1497402945
  Medicare reassignment Care Compare group NPD
• Active Edge Physical Therapy & Sports Medicine P.C.

  • Physical Therapy Clinic/Center
  • West Linn, OR
  • NPI 1730324336
  Medicare reassignment NPD

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1417401027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RED PAINT RDG",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431529",
            "telephone_number": "931-220-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 LAKE DR SE",
            "address_2": "SUITE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061674",
            "telephone_number": "616-248-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ADAM",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Albert Lojek, M.D.
• Nancy Elizabeth Lomax, PHYSICAL THERAPIST
• Adriane Lynne Lombardo, MS,CGC
• Megan Madelyn Lomonaco, NP
• Jennifer G London, LPC NCC CAADC
• Allison Marie Long, MD
• Cierra Peyton Long
• Eric Long
• Kathryn Long, NP-C
• Kristin Long

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.