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

Mitchell Long, PTA

Individual provider Physical Therapy Assistant · NPI 1790029247

Mitchell Long, PTA is a Physical Therapy Assistant in Edgerton, Ohio. Licensed in Ohio. Registered with an NPI since 2012.

Licensed in
OH
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

328 W Vine St
Edgerton, OH 43517-9600
Phone: (419) 298-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA. 08768 (OH)

Record details

NPI number1790029247
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 22, 2012
Last updated in NPPESNovember 22, 2012
Mailing address21786 Switzer Rd, Defiance, OH 43512-9732