Logan Pate, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2019005364 Issued in MO

Practice address

170 State Highway DD
Marshfield, MO 65706-1513

Phone

(417) 859-2120

NPI assigned

Nov 29, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Marshfield R-1 School District

  • Local Education Agency (LEA)
  • Marshfield, MO
  • NPI 1215066089
  NPD
• Marshfield R-1 School District

  • Community/Behavioral Health Agency
  • Marshfield, MO
  • NPI 1629903133
  NPD (past)

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1134723372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27779 STATE HIGHWAY 38",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657069363",
            "telephone_number": "573-276-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 STATE HIGHWAY DD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061513",
            "telephone_number": "417-859-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE",
        "first_name": "LOGAN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019005364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Morgan Pessina, LMSW
• Marsha Pettit
• Melissa D Phillips, PA
• PHMC, LLC
• PHMP, LLC

• All providers in Marshfield, MO
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.