Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam Long, PT, DPT

Individual provider Athletic Trainer · NPI 1417401027

Adam Long, PT, DPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Invictus Physical Therapy LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1331 Lake Dr SE Ste 105
Grand Rapids, MI 49506-1674
Phone: (616) 248-9842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501017822 (MI)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1417401027
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 11, 2016
Last updated in NPPESFebruary 20, 2019
Mailing address104 Red Paint Rdg, Clarksville, TN 37043-1529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Invictus Physical Therapy Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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