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

Nickoles Long

Individual provider Physical Therapist · NPI 1578352571

Nickoles Long is a Physical Therapist in Private Practice in Grandview Heights, Ohio. Qualified in 2020, 6 years ago. Practices with Affordable Home Health Care LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2025

Practice location Address checks out

800 Yard St Ste 300
Grandview Heights, OH 43212-3882
Phone: (937) 672-6098
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT018726 (OH)

Record details

NPI number1578352571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Affordable Home Health Care Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grandview Heights