Active NPI
Madison Long
- Physical Therapy Assistant
- Trinity, FL
National Provider Identifier
1962310441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 35022
- Practice address
- 10015 Trinity Blvd
Trinity, FL 34655-4589 - Phone
- (727) 203-3760
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 35022 | FL | Primary |
Addresses
Primary practice location
10015 Trinity Blvd
Trinity, FL 34655-4589
Mailing address
12214 Matisse Cir
New Port Richey, FL 34655-4739
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": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1962310441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12214 MATISSE CIR",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346554739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 TRINITY BLVD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554589",
"telephone_number": "727-203-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "35022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.