Individual provider Active NPI

Lisa Long, MPT

  • Physical Therapist
  • Englewood, NJ
National Provider Identifier
1831172915
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA003672 Issued in NJ
Practice address
15 Engle St
Suite 205
Englewood, NJ 07631-2936
Phone
(201) 567-2277
Fax
(201) 567-7506
NPI assigned
Nov 22, 2005
Sex
Female
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
Physical Therapist 225100000X QA003672 NJ Primary

Addresses

Primary practice location

15 Engle St
Suite 205
Englewood, NJ 07631-2936

Mailing address

15 Engle St
Suite 205
Englewood, NJ 07631-2936
Phone (201) 567-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041207000080 NJ Practitioner - Physical Therapist in Private Practice 5395701866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Medicine and Rehabilitation Center PAGroup PAC ID 1658273750, 26 clinicians

Practice addresses (Care Compare)

500 Grand Ave
Englewood, NJ 07631-4968
Phone (201) 567-2277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
QA003672NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Feb 20, 2016 Accepting new patients
Physical Medicine and Rehabilitation Center PA Physical Therapist CurrentSince Oct 1, 2004 Accepting new patients
Hana Healthcare, P.C. PastSince Oct 1, 2019 Accepting new patients

Locations

15 Engle St
Ste 205
Englewood, NJ 07631
Phone (201) 567-2277

500 Grand Ave
Ste 100
Englewood, NJ 07631
Phone (201) 227-1760

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

Organizations & group practices 3

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831172915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST",
            "address_2": "SUITE 205",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312936",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST",
            "address_2": "SUITE 205",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312936",
            "telephone_number": "201-567-2277",
            "fax_number": "201-567-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA003672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

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.