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

Diane K Long, PT

Individual provider Physical Therapist · NPI 1174595953

Diane K Long, PT is a Physical Therapist in Private Practice in Greenwich, Connecticut. Qualified in 1987, 39 years ago. Practices with Ivyrehab Connecticut Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
39
Licensed in
CT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6 Greenwich Ofc Park
Greenwich, CT 06831-5151
Phone: (203) 869-1145
Fax: (203) 629-7606
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 003812 (CT)

Record details

NPI number1174595953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESJuly 13, 2026
Mailing address6 Greenwich Office Park, Greenwich, CT 06831-5151

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Ivyrehab Connecticut Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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