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

Samuel Long

Individual provider Physical Therapist · NPI 1205588472

Samuel Long is a Physical Therapist in Private Practice in Moline, Illinois. Qualified in 2021, 5 years ago. Practices with Rock Valley Physical Therapy Center, a 232-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022

Practice location Address checks out

510 Valley View Dr
Moline, IL 61265-6133
Phone: (309) 797-0866
Fax: (309) 797-0872
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1205588472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022
Mailing address850 43rd Ave Ste 100, Moline, IL 61265-8401

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rock Valley Physical Therapy Center — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moline