Individual provider Active NPI

Daniel Everett Long, P.T.

  • Specialist
  • Madisonville, TN
National Provider Identifier
1790727717
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT0000006076 Issued in TN
Practice address
520 Cook St
Suite D
Madisonville, TN 37354-1508
Phone
(423) 442-1440
Fax
(423) 442-1441
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT0000006076 TN Primary

Addresses

Primary practice location

520 Cook St
Suite D
Madisonville, TN 37354-1508

Mailing address

520 Cook St
Suite D
Madisonville, TN 37354-1508
Phone (423) 442-1440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001111 TN Practitioner - Physical Therapist in Private Practice 3678556800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel LongGroup PAC ID 4284689449, 3 clinicians

Practice addresses (Care Compare)

3709 Hwy 411
Suite a
Madisonville, TN 37354-2145
Phone (423) 442-1440

4850 New Hwy 68
Madisonville, TN 37354-2145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT0000006076TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Long Specialist CurrentSince Aug 2, 2004 Accepting new patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients

Locations

3709 Highway 411
#A
Madisonville, TN 37354
Phone (423) 442-1440

4850 New Highway 68
Madisonville, TN 37354
Phone (423) 442-1440

520 Cook St
Ste D
Madisonville, TN 37354
Phone (423) 442-1440

Organizations & group practices 2

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790727717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COOK ST",
            "address_2": "SUITE D",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541508",
            "telephone_number": "423-442-1440",
            "fax_number": "423-442-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COOK ST",
            "address_2": "SUITE D",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541508",
            "telephone_number": "423-442-1440",
            "fax_number": "423-442-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DANIEL",
        "middle_name": "EVERETT",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "PT0000006076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.