Active NPI
Logan Rogers, PT, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1265019384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20000
- Practice address
- 8220 University Exec Park Dr Ste 140
Charlotte, NC 28262-1304 - Phone
- (704) 547-1129
- NPI assigned
- Mar 25, 2021
- 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 | P20000 | NC | Primary |
Addresses
Primary practice location
8220 University Exec Park Dr Ste 140
Charlotte, NC 28262-1304
Mailing address
8220 University Exec Park Dr Ste 140
Charlotte, NC 28262-1304
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1265019384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR STE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXEC PARK DR STE 140",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621304",
"telephone_number": "704-547-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "LOGAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.