Active NPI
Logan Brian Leslie
- Massage Therapist
- Hampstead, NC
National Provider Identifier
1104740646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22721
- Practice address
- 18676 US Highway 17
Hampstead, NC 28443-3227 - Phone
- (910) 821-1700
- NPI assigned
- Aug 6, 2026
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 22721 | NC | Primary |
Addresses
Primary practice location
18676 US Highway 17
Hampstead, NC 28443-3227
Mailing address
18676 US Highway 17
Hampstead, NC 28443-3227
Phone (910) 821-1700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raise the Bar Therapy Services | Massage Therapist | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hampstead, NC
- NPI 1023486602
Massage Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1104740646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18676 US HIGHWAY 17",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433227",
"telephone_number": "910-821-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18676 US HIGHWAY 17",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284433227",
"telephone_number": "910-821-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "LOGAN",
"middle_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "22721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, NC
- Leaps & Bounds Therapeutic Services Inc.
- Leaps & Bounds Therapeutic Services of Hampstead
- Lauren Lee, PT
- Catherine C Lehfeld, PT
- Jennifer Colleen Leigh, LPC, LCAS
- Liberty Healthcare Group, LLC
- Liberty Healthcare Group, LLC
- Liberty Treatment PLLC
- Samantha Jeanine Lipford, OTR/L
- Lori Farabaugh 360 OD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.