Active NPI
Kristine Margaret Logan, P.T.
- Physical Therapist
- Colstrip, MT
National Provider Identifier
1063681997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1409
- Practice address
- 6230 Main Street
Colstrip, MT 59323-1858 - Phone
- (406) 748-3600
- Fax
- (406) 748-3606
- NPI assigned
- Feb 25, 2008
- Last updated
- Oct 23, 2015
- 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 | 1409 | MT | Primary |
Addresses
Primary practice location
6230 Main Street
Colstrip, MT 59323-1858
Mailing address
6230 Main Street
Colstrip, MT 59323-1858
Phone (406) 748-3600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1409 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Rosebud | Past | Accepting new patients |
Organizations & group practices 1
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": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1063681997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 MAIN STREET",
"city": "COLSTRIP",
"state": "MT",
"postal_code": "593231858",
"telephone_number": "406-748-3600",
"fax_number": "406-748-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6230 MAIN STREET",
"city": "COLSTRIP",
"state": "MT",
"postal_code": "593231858",
"telephone_number": "406-748-3600",
"fax_number": "406-748-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "KRISTINE",
"middle_name": "MARGARET",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "1409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colstrip, MT
- County of Rosebud Colstrip School District #19
- Jackson L Craig, PA-C
- Kjersti Lee Downing, DNP, FNP-C
- Lakeview Assisted Living LLC
- Peggy Laurene Leinart-Murch, LCPC
- Miles City Vision Clinic PC (Colstrip Eye Care)
- Montana RX Solutions, PLLC (Colstrip Family Pharmacy)
- Michael Morlock, LMFT
- Jose F Ortiz, MD
- Jane Marie Pierce-McPherson, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.