Active NPI
Logan D Wright, DPT
- Physical Therapist
- Shepherdsville, KY
National Provider Identifier
1205450822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TP2020008
- Practice address
- 115 Huston Dr Ste 3
Shepherdsville, KY 40165-7250 - Phone
- (502) 921-0272
- NPI assigned
- May 29, 2020
- Sex
- Male
- 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 | TP2020008 | KY | Primary |
Addresses
Primary practice location
115 Huston Dr Ste 3
Shepherdsville, KY 40165-7250
Mailing address
115 Huston Dr Ste 3
Shepherdsville, KY 40165-7250
Phone (502) 921-0272
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP2020008 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1205450822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HUSTON DR STE 3",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401657250",
"telephone_number": "502-921-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HUSTON DR STE 3",
"city": "SHEPHERDSVILLE",
"state": "KY",
"postal_code": "401657250",
"telephone_number": "502-921-0272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LOGAN",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "TP2020008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shepherdsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.