Holly Long, P.T.
NPI 1649403924ActiveIndividual· Physical Therapist· Jefferson City, TN
Physical Therapist (P.T.) with Summit Medical Group, PLLC, practicing in Jefferson City, Tennessee. Medicare paid $114,452 for services to 160 patients in 2024.
Overview
| NPI | 1649403924 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | Yes |
| NPI issued | Sep 2, 2009 |
| Last updated in NPPES | Aug 24, 2023 |
| Certified by provider | Aug 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 12118 | TN |
| Physical Therapist | 225100000X | 1441 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 6,311 across 9 procedure codes |
| Paid by Medicare | $114,452 |
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Summit Medical Group, PLLCKnoxville, TN · 652 clinicians
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All 17 physical therapists in Jefferson City · All physical therapists in Tennessee