Braxton Long

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTL.0020583 Issued in CO

Practice address

1411 S Potomac St Ste 350
Aurora, CO 80012-4543

Phone

(720) 324-9380

NPI assigned

May 20, 2025

Last updated

May 20, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peak Rehabilitation of Denver LLC

  dba Peak Physical Therapy

  • Rehabilitation Clinic/Center
  • Westminster, CO
  • NPI 1043859747
  NPD (past)
• Peak Rehabilitation of Denver LLC

  dba Peak Physical Therapy and Wellness

  • Physical Therapist
  • Aurora, CO
  • NPI 1225661176
  NPD (past)

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1467244970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 COUNTY ROAD 407",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016509",
            "telephone_number": "573-822-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 350",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124543",
            "telephone_number": "720-324-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRAXTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "PTL.0020583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Lombogia
• Carla E Lomuscio, B.S.
• Abbey Cameron Londa, PHARMD
• Nikole A London, MS PT
• Betsy G Long, LSW
• Colleen Long, MD
• Connor Lee Long, PA-C
• Diana SK Long, RN
• Hannah Jane Long, PA-C
• Jody Long, NP

• Physical Medicine & Rehabilitation Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.