Active NPI
Barbara Logan, P.T.
- Physical Therapist
- Decatur, GA
National Provider Identifier
1184822488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007863
- Practice address
- 3645 Tarragon Dr
Decatur, GA 30034-6226 - Phone
- (504) 237-8641
- NPI assigned
- Jul 7, 2007
- Sex
- Female
- 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 | 007863 | CT | Primary |
Addresses
Primary practice location
3645 Tarragon Dr
Decatur, GA 30034-6226
Mailing address
3645 Tarragon Dr
Decatur, GA 30034-6226
Phone (504) 237-8641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007863 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1184822488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 TARRAGON DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300346226",
"telephone_number": "504-237-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 TARRAGON DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300346226",
"telephone_number": "504-237-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-07",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.