Active NPI
David Scott Logerstedt, PT
- Physical Medicine & Rehabilitation Physician
- Newark, DE
National Provider Identifier
1043468390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- J1-0002360
- Practice address
- 053 McKinley Lab
Newark, DE 19716 - Phone
- (302) 831-8893
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- 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 Medicine & Rehabilitation Physician | 208100000X | J1-0002360 | DE | Primary |
Addresses
Primary practice location
053 McKinley Lab
Newark, DE 19716
Mailing address
053 McKinley Lab
Newark, DE 19716
Phone (302) 831-8893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002360 | DE | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1043468390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "053 MCKINLEY LAB",
"city": "NEWARK",
"state": "DE",
"postal_code": "19716",
"telephone_number": "302-831-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "053 MCKINLEY LAB",
"city": "NEWARK",
"state": "DE",
"postal_code": "19716",
"telephone_number": "302-831-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGERSTEDT",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "DE",
"license": "J1-0002360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.