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.

See every abbreviation used in this directory →

Practice location Address checks out

275 W 12th St
Peru, IN 46970-1638
Phone: (765) 472-8000
Show map & directions

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

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