Active NPI
Logan Rock, DPT
- Physical Therapist
- Lexington, SC
National Provider Identifier
1124765862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5443 Platt Springs Rd Ste D
Lexington, SC 29073-6203 - Phone
- (803) 774-1333
- Fax
- (803) 767-4918
- NPI assigned
- May 15, 2022
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5443 Platt Springs Rd Ste D
Lexington, SC 29073-6203
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11272 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
5443 Platt Springs Rd
Ste D
Lexington, SC 29073
Phone (803) 774-1333
Organizations & group practices 2
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1124765862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8923",
"fax_number": "423-954-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5443 PLATT SPRINGS RD STE D",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290736203",
"telephone_number": "803-774-1333",
"fax_number": "803-767-4918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "LOGAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.