Active NPI
Logan Alexander Arena, PT, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1104371608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4539 S Dale Mabry Hwy
Suite 110
Tampa, FL 33611-1404 - Phone
- (813) 250-1208
- NPI assigned
- Aug 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4539 S Dale Mabry Hwy
Suite 110
Tampa, FL 33611-1404
Mailing address
1677 Atlanta Plaza Dr
Sanibel, FL 33957-4327
Phone (508) 868-7179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Florida College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
730 Goodlette Rd
Suite 102
Naples, FL 34102-5617
Phone (239) 430-3366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14355 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Foot and Leg Center PA | Current | Accepting new patients | |
| Family Foot and Leg Center PA | Current | Accepting new patients | |
| Advanced Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
Locations
12250 Tamiami Trl E
Ste 101
Naples, FL 34113
Phone (239) 417-2256
730 Goodlette Rd
Ste 102
Naples, FL 34102
Phone (231) 343-2027
Interoperability endpoints
- logan.arena.1@9455.direct.athenahealth.com
- https://api.platform.athenahealth.com/9455/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1598702847
-
- Foot & Ankle Surgery Podiatrist
- Naples, FL
- NPI 1457222440
-
- Physical Therapist
- Valrico, FL
- NPI 1427505627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1104371608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1677 ATLANTA PLAZA DR",
"city": "SANIBEL",
"state": "FL",
"postal_code": "339574327",
"telephone_number": "508-868-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 S DALE MABRY HWY",
"address_2": "SUITE 110",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111404",
"telephone_number": "813-250-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENA",
"first_name": "LOGAN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-25",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.