Logan Jerald Dewhitt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4706 Issued in AR

Practice address

3317 N Wimberly Dr FL 2
Fayetteville, AR 72703-4056

Phone

(795) 873-1174

NPI assigned

Aug 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: logan.dewhitt.1@18403.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4

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.

• Ozark Orthopaedics, P.a.

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
  • NPI 1649210584

  AR

  Medicare reassignment Care Compare group NPD
• Ozark Orthopaedics, P.a.

  • Orthopaedic Surgery Physician
  • Bentonville, AR
  • NPI 1235573577
  Care Compare group
• Ozark Orthopaedics, P.a.

  • Orthopaedic Surgery Physician
  • Siloam Springs, AR
  • NPI 1649614231
  Care Compare group
• Ozark Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Siloam Springs, AR
  • NPI 1255164570
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozark Orthopaedics, P.a. 57 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.41 of 100Reported as apm

Quality

79.26

Promoting interoperability

100

Improvement activities

40

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1114574142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR FL 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "795-873-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR FL 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "795-873-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWHITT",
        "first_name": "LOGAN",
        "middle_name": "JERALD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Deschenes
• Designing Health PA
• Kinley Grace Despain
• Destiny Bound, LLC
• Janet Kay Devore, APN, MNSC
• Cynthia Anne Dewitt, LMT, CLT
• Dialysis Centers of Northwest Arkansas LLC
• Alan L. Diamond, DO
• Alexandra Diaz-Cruz, MD
• Lexy Jill Diaz

• All providers in Fayetteville, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.