Individual provider Active NPI

Logan Guess, DPT

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1245755214
Registry record updated Aug 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13213 Issued in AZ
Practice address
13951 W Grand Ave Ste 201
Surprise, AZ 85374-2436
Phone
(623) 537-9730
NPI assigned
Aug 10, 2017
Last updated
Aug 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13213 AZ Primary

Addresses

Primary practice location

13951 W Grand Ave Ste 201
Surprise, AZ 85374-2436

Mailing address

PO Box 95
Waddell, AZ 85355-0095
Phone (623) 628-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001342 AZ Practitioner - Physical Therapist in Private Practice 4486929015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

23478 N Sundance Pkwy
Suite 104
Buckeye, AZ 85326-0152
Phone (623) 257-9462

2940 E Banner Gateway Dr
Suite 425
Gilbert, AZ 85234-2177
Phone (480) 813-7900

9321 W Thomas Rd
Suite 135
Phoenix, AZ 85037-3389
Phone (623) 264-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13213AZMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jul 4, 2023 Accepting new patients
White Tanks Physical Therapy and Orthopedic Rehabilitation LLC CurrentSince Aug 8, 2017 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jul 4, 2023 Accepting new patients

Locations

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

250 N Litchfield Rd
Ste 155
Goodyear, AZ 85338
Phone (623) 882-9787

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

14001 N 7th St
Ste A102
Phoenix, AZ 85022
Phone (602) 548-5445

20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424

13951 W Grand Ave
Ste 201
Surprise, AZ 85374
Phone (623) 537-9730

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691193600000",
    "number": "1245755214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853550095",
            "telephone_number": "623-628-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 W GRAND AVE STE 201",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742436",
            "telephone_number": "623-537-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUESS",
        "first_name": "LOGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-08-05",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2023; 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.