MARIE CAMILLE LONG (DPT) – Physical Therapist, NPI 1326697707

MARIE CAMILLE LONG (DPT) is a healthcare provider. based in Molalla, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 24377 (MA). The NPI Number for MARIE CAMILLE LONG (DPT) is 1326697707

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARIE CAMILLE LONG (DPT)
NPI
1326697707
Phone
(503) 776-0970
Address
1515 W Main St Ste E
Enumeration Date
9 September 2019
Last Update Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034244589
Graduation Year
2019 (7 years ago)
PAC ID
4385974328
Group Practice PAC ID
8426961087
Professional Enrollment ID
I20250808001489
Address ID
CO800076874AR15530EXXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:6State licenses:3Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for MARIE CAMILLE LONG (DPT)

  • 1515 W Main St Ste E

    Molalla, OR 970387363

    Phone: (503) 776-0970

    Type: Location

  • 32, Garden Street, East Milton, Milton, Norfolk County, Massachusetts, 02170, United States

    MILTON, MA 021865306

    Phone: (310) 991-6923

    Type: Mailing

  • 425, Revere Street, Revere, Suffolk County, Massachusetts, 02151, United States

    REVERE, MA 021514543

    Phone: (310) 991-6923

    Type: Location

  • 15530 W 64TH AVE UNIT E

    ARVADA, CO 800076874

    Phone: (303) 424-4589

    Fax: (303) 424-4632

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240117002987IPhysical Therapist In Private PracticeORTBD
I20250808001489IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426961087View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MARIE CAMILLE LONG (DPT)?
Save NPI 1326697707 if you need a stable reference for MARIE CAMILLE LONG (DPT).
Does this profile mean MARIE CAMILLE LONG (DPT) is currently active?
Yes — MARIE CAMILLE LONG (DPT) appears active in the national provider directory.
What kind of provider is MARIE CAMILLE LONG (DPT)?
The page reflects Physical Therapist for MARIE CAMILLE LONG (DPT). Clinical services aligned with this taxonomy classification.
Where is MARIE CAMILLE LONG (DPT)'s primary listing?
We display Molalla, Oregon because that is what the record indicates for MARIE CAMILLE LONG (DPT).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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