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

Mrs. Amanda Long, PT, DPT

Individual provider Physical Therapist · NPI 1710545777

Mrs. Amanda Long, PT, DPT is a Physical Therapist in Private Practice in Saint Peters, Missouri. Qualified in 2019, 7 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and South Carolina.

Years since qualifying
7
Licensed in
MO, SC
In the registry since
2019
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5200 Executive Centre Pkwy Ste 200
Saint Peters, MO 63376-3394
Phone: (636) 255-8750
Fax: (636) 244-1172
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 6041b Garners Ferry Rd, Columbia, SC 29209-1304 — (803) 783-0684

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2021014458 (MO)
Physical Therapist Taxonomy 225100000X · Licence 9707 (SC)

Record details

NPI number1710545777
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 4, 2019
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Peters