Logan Peters

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT43828 Issued in FL

Practice address

10511 N Florida Ave
Citrus Springs, FL 34434-3268

Phone

(352) 465-5880

NPI assigned

Feb 14, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• TLC Rehab, LLC

  • Physical Therapist
  • Citrus Springs, FL
  • NPI 1326015991
  NPD (past)
• TLC Rehab, LLC

  • Physical Therapist
  • Hernando, FL
  • NPI 1548237118
  NPD (past)

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

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1033061643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 DAME RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349814524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 N FLORIDA AVE",
            "city": "CITRUS SPRINGS",
            "state": "FL",
            "postal_code": "344343268",
            "telephone_number": "352-465-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2236 Highway 44 W",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533873",
            "country_code": "US",
            "telephone_number": "352-419-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.039839",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Services Provider
• Rachel Niles
• Anupkumar H Patel, R.PH
• Alexander Charles Pendrey, LCSW
• Jasmin L Perez
• Tara Ann Philcox, APRN PMHNP
• Michelle Pratt
• Purpose & Promise Home Care Services
• Purpose Home LLC
• Mina Serena Manaog Reburiano, APRN

• Physical Therapist in Citrus Springs, FL
• Providers in Citrus Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.