Individual provider Active NPI

Tara Nicole Long, PT

  • Physical Therapist
  • Clarksville, TN
National Provider Identifier
1992010003
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9851 Issued in TN
Practice address
1000 S Gateway Blvd
Clarksville, TN 37043-8118
Phone
(931) 221-4743
Fax
(931) 552-0999
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 9851 TN Primary

Addresses

Primary practice location

1000 S Gateway Blvd
Clarksville, TN 37043-8118

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811002187 TN Practitioner - Physical Therapist in Private Practice 3072792787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

141 Hillcrest Dr
Clarksville, TN 37043-5088
Phone (931) 245-8500

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9851TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Mar 17, 2014 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Mar 17, 2014 Accepting new patients

Locations

141 Hillcrest Dr
Clarksville, TN 37043
Phone (931) 245-8500

1000 S Gateway Blvd
Clarksville, TN 37043
Phone (931) 221-4743

501 Saundersville Rd
Hendersonville, TN 37075
Phone (615) 527-9026

3443 Dickerson Pike
Ste 480
Nashville, TN 37207
Phone (615) 263-6500

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

608 Norris Ave
Nashville, TN 37204

8 City Blvd
Ste 300
Nashville, TN 37209

1804 Pinnacle Rd
Ste A
Pleasant View, TN 37146
Phone (931) 221-4743

Interoperability endpoints

  • Direct secure messaging: tara.long.p1@direct.toa.nextgenshare.com

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1992010003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S GATEWAY BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438118",
            "telephone_number": "931-221-4743",
            "fax_number": "931-552-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.