Individual provider Active NPI

Logan Sims, DPT

  • Physical Therapist
  • Ooltewah, TN
National Provider Identifier
1003253485
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9648 Issued in TN
Practice address
4957 Swinyar Dr Ste 103
Ooltewah, TN 37363-2205
Phone
(423) 664-0800
Fax
(423) 664-0801
NPI assigned
May 27, 2013
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9648 TN Primary

Addresses

Primary practice location

4957 Swinyar Dr Ste 103
Ooltewah, TN 37363-2205

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Other practice location 1

2600 Taft Hwy Ste 400
Signal Mountain, TN 37377-2778
Phone (423) 886-6979

Other practice location 2

1511 Gunbarrel Rd
Chattanooga, TN 37421-3897
Phone (423) 894-4188

Other practice location 3

3760 Ocoee Pl NW Ste 101
Cleveland, TN 37312-5637
Phone (423) 336-3795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130627000255 TN Practitioner - Physical Therapist in Private Practice 0244479012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

2600 Taft Hwy
Suite 400
Signal Mountain, TN 37377-2778
Phone (423) 886-6979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc CurrentSince May 29, 2013 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 29, 2013 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3760 Ocoee Pl NW
Ste 101
Cleveland, TN 37312
Phone (423) 336-3795

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

1420 W Baddour Pkwy
Ste 120
Lebanon, TN 37087
Phone (615) 443-9036

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

4957 Swinyar Dr
Ste 103
Ooltewah, TN 37363
Phone (423) 664-0800

2600 Taft Hwy
Ste 400
Signal Mountain, TN 37377
Phone (423) 886-6979

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1003253485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 SWINYAR DR STE 103",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632205",
            "telephone_number": "423-664-0800",
            "fax_number": "423-664-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Taft Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Signal Mountain",
            "state": "TN",
            "postal_code": "373772778",
            "country_code": "US",
            "telephone_number": "423-886-6979",
            "fax_number": "423-886-6962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 Gunbarrel Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213897",
            "country_code": "US",
            "telephone_number": "423-894-4188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 Ocoee Pl NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373125637",
            "country_code": "US",
            "telephone_number": "423-336-3795",
            "fax_number": "423-336-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "LOGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-27",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.