Logan Brent Ball, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211724 Issued in VA

Practice address

272 Highland Dr
Lebanon, VA 24266-4666

Phone

(276) 889-4090

NPI assigned

Feb 9, 2018

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

Other identifiers 1

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.

• Lebanon Physical Therapy and Rehabilitative Services, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Lebanon, VA
  • NPI 1619947678
  NPD

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1215436837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664666",
            "telephone_number": "276-889-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HIGHLAND DR",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242664666",
            "telephone_number": "276-889-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "LOGAN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-09",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4979711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Austin
• B & B Pharmacies Inc
• Dwight Lawrence Bailey, M.D.
• Elizabeth Altizer Baker, M.ED. CCC-SLP
• Dakota Ball
• Bridget Banner
• Rebecca Barton
• Benham Physician Services LLC
• Best Life Physical Therapy Inc.
• Bio-Medical Applications of Virginia, Inc.

• Physical Therapist in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.