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

Madison Long, PT, DPT

Individual provider Sports Physical Therapist · NPI 1649122953

Madison Long, PT, DPT is a Physical Therapist in Private Practice in Glen Burnie, Maryland. Qualified in 2025, 1 year ago. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2026
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

1911 Crain Hwy S
Glen Burnie, MD 21061-5573
Phone: (443) 960-7442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 30767 (MD)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 30767 (MD)

Record details

NPI number1649122953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare