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

Grant B Long, DPT

Individual provider Physical Therapist · NPI 1376864629

Grant B Long, DPT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 2010, 16 years ago. Practices with Gateway Sports Medicine and Rehabilitation PC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
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 →

Practice location Address checks out

4999 Skyline Rd S Ste 90
Salem, OR 97306-2878
Phone: (503) 566-7700
Fax: (503) 566-7703
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1376864629
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 23, 2016
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Gateway Sports Medicine And Rehabilitation Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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