Active NPI
Logan Elizabeth Bruce Adlum, DPT
- Physical Therapist
- Monterey, CA
National Provider Identifier
1013731876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 307079
- Practice address
- 21 Lower Ragsdale Dr
Monterey, CA 93940-5827 - Phone
- (831) 264-6040
- NPI assigned
- Nov 8, 2024
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 307079 | CA | Primary |
Addresses
Primary practice location
21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Mailing address
PO Box 184
Monterey, CA 93942-0184
Phone (607) 386-2143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307079 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Montage Surgical Group | Past | Accepting new patients |
Locations
12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060
21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- logan.adlum.p1@direct.msjhealth.nextgenshare.com
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.
-
- Orthopaedic Surgery Physician
- Monterey, CA
- NPI 1881620599
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Monterey, CA
- NPI 1629864236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1013731876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 184",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939420184",
"telephone_number": "607-386-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 LOWER RAGSDALE DR",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405827",
"telephone_number": "831-264-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLUM",
"first_name": "LOGAN",
"middle_name": "ELIZABETH BRUCE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "307079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
- Eugenie Francis Adams, PPS
- Robert Maurice Adams, MD
- Oluwafunmilola Adekanmbi
- Adept Physical Therapy for Wound Healing, Inc.
- Christina Iheoma Adibe, P.A.
- Advanced Urology Health Center Inc
- Advantacare Health Inc (Advantacare Infusion)
- Advantacare Health Parnters (AdvantaCare Infusion)
- Advantacare Health Partners, Inc (AdvantaCare Medical)
- Advantacare Health, Inc (AdvantaCare Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.