Individual provider Active NPI

Logan Rhodes Hanley, DC

  • Chiropractor
  • Spartanburg, SC
National Provider Identifier
1134536261
Registry record updated Jul 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3960 Issued in SC
Practice address
222 E Blackstock Rd
Spartanburg, SC 29301-2627
Phone
(864) 574-8881
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3960 SC Primary

Addresses

Primary practice location

222 E Blackstock Rd
Spartanburg, SC 29301-2627

Mailing address

222 E Blackstock Rd Suite D
Spartanburg, SC 29301-2627
Phone (864) 574-8881

Other identifiers 1

IdentifierTypeStateIssuer
CH3960MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007000857 SC Practitioner - Chiropractic 0648490011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

222 E Blackstock Rd
Spartanburg, SC 29301-2627

222 E Blackstock Rd D
Spartanburg, SC 29301-2627
Phone (864) 574-8881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3960SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Chiropractic Chiropractor CurrentSince Aug 1, 2014 Accepting new patients

Locations

1454 Gentry Memorial Hwy
Easley, SC 29640
Phone (864) 644-2700

222 E Blackstock Rd
Ste D
Spartanburg, SC 29301
Phone (864) 574-8881

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1134536261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E BLACKSTOCK RD SUITE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012627",
            "telephone_number": "864-574-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E BLACKSTOCK RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012627",
            "telephone_number": "864-574-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "LOGAN",
        "middle_name": "RHODES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3960",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.