P Praxis·MD
● Active Type 1 · Individual

Nicholas James Long

Physical Therapist·Blakely, GA· NPI 1598094955 · Enumerated 2009 · 16 years on NPI
Long is 1 of 3 physical therapist providers in Blakely and 1 of 7225 in Georgia.
NPI age
16 years
Enumerated 2009-12-15
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-12-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
16 years
↑ 6 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-12Enumerated in NPPES
2009 2026

Where they practice

Practice location
11740 Columbia St
Blakely, GA 398232574
📞 2297232930
Mailing address
920 Cairo Rd, Reimbursement Department
Thomasville, GA 317924255
📞 2292288800fax 2292288892

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT009781 taxonomy 225100000X

Identifiers

TypeValueNotes
01 (GA) PT009781 LICENSE NO.

Practice context

Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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