KELLY A LONG PT
NPI 1184696692
Physical Therapist in Alexandria, VA

Active since February 07, 2006
6355 WALKER LN, SUITE 404, ALEXANDRIA, VA 22310(703) 797-6900(703) 797-6905 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly A Long Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A LONG PT (NPI 1184696692) is an individual physical therapist in Alexandria, Virginia, licensed in Virginia (2305204524) and active in the NPI registry since February 2006. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1184696692
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKELLY A LONGCredential: PT
Location Address6355 WALKER LN, SUITE 404Alexandria, VA 22310-3245
Mailing Address9900 Main St, Suite 200aFairfax, VA 22031-3907 · (703) 279-4394 · Fax (703) 279-4214
Fax(703) 797-6905
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1184696692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in VA · 2305204524
Definition
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 to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
6355 WALKER LN, Alexandria, VA 22310

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A Long Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911463906
PECOS Enrollment IDI20260730000357

Medicare Billing Reassignment

Medicare enrollment records show Kelly Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
3915 BLENHEIM BLVD STE 21C
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
6355 WALKER LN, SUITE 512
ALEXANDRIA, VA 22310
Emergency Medicine
6355 WALKER LN
ALEXANDRIA, VA 22310
Physical Therapist
6355 WALKER LN, SUITE 204
ALEXANDRIA, VA 22310
Family Medicine
6355 WALKER LN, SUITE 310
ALEXANDRIA, VA 22310
Physician Assistant
6355 WALKER LN, SUITE 401
ALEXANDRIA, VA 22310
Orthopaedic Surgery
6355 WALKER LN, SUITE 501
ALEXANDRIA, VA 22310
Internal Medicine
6355 WALKER LN, SUITE 505
ALEXANDRIA, VA 22310
Internal Medicine
6355 WALKER LN, SUITE 303
ALEXANDRIA, VA 22310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Long's NPI number?

The NPI number for Kelly Long is 1184696692. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Kelly Long located?

Kelly Long practices at 6355 Walker Ln Suite 404, Alexandria, VA 22310. The listed phone number is (703) 797-6900.

What is Kelly Long's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kelly Long enrolled in Medicare?

Yes. Kelly Long is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Long reassigns Medicare benefits to Pure Movement Physical Therapy And Wellness LLC (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Long was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.