Active NPI
Logan Gentry, PT, DPT
- Physical Therapist
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6656
- Practice address
- 2020 Arlington St Ste 3
Ada, OK 74820-2822 - Phone
- (580) 332-5124
- NPI assigned
- Feb 7, 2025
- Last updated
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 6656 | OK | Primary |
Addresses
Primary practice location
2020 Arlington St Ste 3
Ada, OK 74820-2822
Mailing address
2301 Williams Dr
Sulphur, OK 73086-1444
Other practice location 1
824 NW 45th St
Oklahoma City, OK 73118-6434
Phone (580) 371-1343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
| Stellar Physical Therapy and Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2020 Arlington St
Ste 3
Ada, OK 74820
Phone (580) 332-5124
1233 E State Highway 152
Mustang, OK 73064
Phone (405) 674-0101
1010 Garth Brooks Blvd
Ste 135
Yukon, OK 73099
Phone (405) 350-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Stillwater, OK
- NPI 1205162716
Physical Therapist
-
- Physical Therapist
- Oklahoma City, OK
- NPI 1528939667
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1184438202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 WILLIAMS DR",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730861444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 ARLINGTON ST STE 3",
"city": "ADA",
"state": "OK",
"postal_code": "748202822",
"telephone_number": "580-332-5124"
}
],
"practiceLocations": [
{
"address_1": "824 NW 45th St",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731186434",
"country_code": "US",
"telephone_number": "580-371-1343",
"fax_number": "405-767-0273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTRY",
"first_name": "LOGAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-07",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "6656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.