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

Robert Wayne Long III, PTA

Individual provider Physical Therapy Assistant · NPI 1073998571

Robert Wayne Long III, PTA is a Physical Therapy Assistant in Peru, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

275 W 12th St
Peru, IN 46970-1638
Phone: (765) 472-8000
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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 06005129A (IN)

Record details

NPI number1073998571
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 25, 2015
Last updated in NPPESJuly 25, 2015
Mailing address1452 Strawtown Pike, Peru, IN 46970-2775

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