Active NPIIndividual provider

Alexis Long

Physical Therapist in Bloomfield, New Jersey

NPI Number1508696162
Practice location
1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
Fax
—
Last updated
July 16, 2025

Alexis Long is a Physical Therapist based in Bloomfield, NJ. Alexis Long practices in Bloomfield, NJ. The NPI Number for Alexis Long is 1508696162 and holds a License No. 40QA02271200 (NJ). The current practice location address for Alexis Long is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066 and can be reached out via phone at 877-532-7837.

Provider Profile Details

NPI Number
1508696162
Provider Name
Alexis Long
Provider Entity Type
Individual
Gender
Female
Address
1455 Broad St Ste 250, Bloomfield, NJ 07003-3066
Phone Number
877-532-7837
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2024
Last Update Date
July 16, 2025
Certification Date
July 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Zip
07003-3066
Phone Number
877-532-7837
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
City
Bloomfield
State
NJ
Zip
07003-3066
Phone Number
877-532-7837

License Information

License Number
40QA02271200
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexis Long?

The NPI number of Alexis Long is 1508696162. It was assigned on August 7, 2024 and is currently active in the NPPES registry.

What is the specialty of Alexis Long?

Alexis Long is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02271200.

Where does Alexis Long practice?

The practice location is 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066. The office can be reached at 877-532-7837 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508696162 directly on the NPPES registry website.

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