PT Logix, LLC

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

Legal business name

PT LOGIX, LLC

Practice address

2 Carlson Pkwy N
#125
Plymouth, MN 55447-4466

Phone

(612) 607-9680

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Brett Johnston

Title

Founder

Phone

(612) 607-9680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1073968343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY, N.",
            "address_2": "#125",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55447",
            "telephone_number": "612-607-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARLSON PKWY N",
            "address_2": "#125",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474466",
            "telephone_number": "612-607-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT LOGIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "612-607-9680"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Preusser, MSW, LICSW
• Lauren Luebbe Price, CRNA
• Philip James Price, MD
• Lauris J Prinsen, L.A.D.C.
• Prisendorf Care, LLC (BrightStar Care of Plymouth)
• Sada Kathryn Puckett, LPCC, LADC
• Qoraxey Transportation LLC
• Amanda H Quach
• Cassandra Marie Quam, CRNA
• Quantics Medical PLLC

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.