Logan John Anglin, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

LPT32349 Issued in AZ

Practice address

23350 W Yuma Rd
Buckeye, AZ 85326-3106

Phone

(623) 242-6908

NPI assigned

May 20, 2022

Last updated

May 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Orthopedic Physical Therapy PLLCGroup PAC ID 9638177272, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Orthopedic Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1851490627
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1205574209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W INDIAN SCHOOL RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959243",
            "telephone_number": "623-242-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23350 W YUMA RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263106",
            "telephone_number": "623-242-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14557 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853959243",
            "country_code": "US",
            "telephone_number": "623-242-6908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "LOGAN",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "LPT32349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Claire Gucciardi Anderson, PA-C
• Dennis Andreopoulos, DDS
• Caprice Andrews
• Angelic Peace Home
• Anna Marie Anger
• Antesha Antreas
• Apexnetwork Arizona, LLC (ApexNetwork Physical Therapy)
• Aqua Rituals, LLC
• Arizona Dental Professionals, P.C. (Roosevelt Commons Dental Care)
• Arizona Dental Professionals, P.C. (Village Grove Dental Care)

• Orthopedic Physical Therapist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.