Logan Lynch, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

099490 Issued in IA

Practice address

340 E 12TH St
Dubuque, IA 52001-2313

Phone

(563) 543-3400

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life in Motion Physical Therapy LLC

  • Physical Therapist
  • Dubuque, IA
  • NPI 1619868080
  NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1013543842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14378 GREEN HILL DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520039665",
            "telephone_number": "563-543-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 12TH ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520012313",
            "telephone_number": "563-543-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LOGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "099490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris B Lundell, DDS
• Katherine Lux
• Luxottica of America Inc. (Lenscrafters #122)
• Luxottica Retail North America Inc (Sears Optical #C0268)
• Lynch Chiropractic PLLC (Tri-States Clinic of Chiropractic)
• Michelle R Lynch, ARNP
• Peter Harland Lynch, D.C.
• Brooke Lyons, ARNP
• Brett Maag
• Alexi Maas, BCBA

• Physical Medicine & Rehabilitation Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.