Logan Thomas Pettz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294285 Issued in CA

Practice address

9151 NE 81St Ter
Kansas City, MO 64158-1294

Phone

(816) 415-4971

NPI assigned

Aug 14, 2015

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• KC Chiro, LLC

  • Chiropractor
  • Lenexa, KS
  • NPI 1235564899
  NPD (past)

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1104292044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7917 N FLINTLOCK RD",
            "address_2": "G",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581126",
            "telephone_number": "816-352-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581294",
            "telephone_number": "816-415-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTZ",
        "first_name": "LOGAN",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-14",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015028950",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Harley Pettitt, ATC
• Valerie L Pettus-Sias
• Erin Pettus
• Alexandra Petty
• McKayla Rae Petty, APRN
• Hans Christian Pfadt, RN
• Brittany J Pfeifer, NP
• Diane M Pfeifer, N.P.
• Andrew Chance Pfeiffer, DC
• Stephen Pfeiffer, MD

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.