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

Jack Long, DPT

Individual provider Physical Therapist · NPI 1861918534

Jack Long, DPT is a Physical Therapist in Private Practice in Cambridge, Massachusetts. Graduated from Boston University School of Medicine in 2017, 9 years ago. Practices with Silver Fern Practice LLC, a 296-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Trained at
Boston University School of Medicine
Licensed in
MA
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.

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Practice location Address checks out

356 Third St
Cambridge, MA 02142-1111
Phone: (617) 714-5402
Fax: (844) 912-8604
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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 23177 (MA)

Record details

NPI number1861918534
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address4 Richmond Sq, Providence, RI 02906-5117

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Silver Fern Practice Llc — 296 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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