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

Caitlin Long, DPT, CKTP

Individual provider Physical Therapist · NPI 1306368428

Caitlin Long, DPT, CKTP is a Physical Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2021, 5 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1776 S 17th St
Wilmington, NC 28401-6442
Phone: (910) 763-8286
Fax: (910) 251-9289
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4125 Ironbound Rd Ste 100, Williamsburg, VA 23188 — (919) 258-2714

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305213764 (VA)

Record details

NPI number1306368428
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , CKTP
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 21, 2022
Certification dateApril 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington