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

Mr. Corey Thomas Long, PT

Individual provider Physical Therapist · NPI 1861460511

Mr. Corey Thomas Long, PT is a Physical Therapist in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
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

731 E Southlake Blvd Ste 150
Southlake, TX 76092-6380
Phone: (817) 442-8600
Fax: (817) 442-8603
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1115061 (TX)

Record details

NPI number1861460511
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing addressPo Box 2650, Coppell, TX 75019-8607

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