Active NPI
Nicole Karen Longman, PT, DPT
- Physical Therapist
- Fort Myers, FL
National Provider Identifier
1417864125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT45237
- Practice address
- 6150 Medical Park Loop
Fort Myers, FL 33912-4537 - Phone
- (239) 722-3600
- NPI assigned
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT45237 | FL | Primary |
Addresses
Primary practice location
6150 Medical Park Loop
Fort Myers, FL 33912-4537
Mailing address
16928 Sage Ter
Babcock Ranch, FL 33982-5387
Phone (862) 354-7253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1417864125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16928 SAGE TER",
"city": "BABCOCK RANCH",
"state": "FL",
"postal_code": "339825387",
"telephone_number": "862-354-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6150 MEDICAL PARK LOOP",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124537",
"telephone_number": "239-722-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGMAN",
"first_name": "NICOLE",
"middle_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT45237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.