Active NPI
Logan Paul Myrick, PT, DPT
- Physical Therapist
- Simpsonville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP043916T
- Practice address
- 727 SE Main St Ste 200
Simpsonville, SC 29681-3262 - Phone
- (864) 999-3831
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP043916T | SC | Primary |
| Physical Therapist | 225100000X | CP035275T | GA | |
| Physical Therapist | 225100000X | 14748 | TN | |
| Physical Therapist | 225100000X | 304936 | CA | |
| Physical Therapist | 225100000X | PT42664 | FL | |
| Physical Therapist | 225100000X | CP0277702T | NC |
Addresses
Primary practice location
727 SE Main St Ste 200
Simpsonville, SC 29681-3262
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
161 Pontiac Business Center Dr Ste 1188
Elgin, SC 29045-7123
Phone (803) 708-1536
Other practice location 2
454 N University Drive
Pembroke Commons
Pembroke Pines, FL 33024
Phone (954) 443-1926
Other practice location 3
3575 Durden Dr NE # 304A
Brookhaven, GA 30319-2253
Phone (404) 469-9005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC, MA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Pontiac Business Ctr Dr
Suite 1188
Elgin, SC 29045-7123
Phone (803) 708-1536
316 Huntington Ave
Boston, MA 02115-5019
Phone (617) 448-7381
727 SE Main St
Suite 200
Simpsonville, SC 29681-3262
Phone (864) 454-6670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304936 | CA | MD | Physical Therapist |
| PT42664 | FL | MD | Physical Therapist |
| CP035275T | GA | MD | Physical Therapist |
| CP0277702T | NC | MD | Physical Therapist |
| CP043916T | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Rehabclinics Pta, Inc. | Current | Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1817 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 836-8980
454 N University Dr
Pembroke Pines, FL 33024
Phone (954) 443-1926
33205 Collection Ctr Dr
Chicago, IL 60693
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
703 Granite St
Ste 3
Braintree, MA 02184
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
161 Pontiac Business Center Dr
Ste 1188
Elgin, SC 29045
Phone (803) 708-1536
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670
1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456
Organizations & group practices 13
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
dba Bay State Physical Therapy
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Physical Therapist, SC
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Aventura, FL
- NPI 1003274168
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
dba Bay State Physical Therapy
- Physical Therapist
- Franklin, MA
- NPI 1821108549
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Plantation, FL
- NPI 1003358235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764201600000",
"number": "1265146963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 SE MAIN ST STE 200",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813262",
"telephone_number": "864-999-3831"
}
],
"practiceLocations": [
{
"address_1": "161 Pontiac Business Center Dr Ste 1188",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "SC",
"postal_code": "290457123",
"country_code": "US",
"telephone_number": "803-708-1536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "454 N University Drive",
"address_2": "Pembroke Commons",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "33024",
"country_code": "US",
"telephone_number": "954-443-1926",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3575 Durden Dr NE # 304A",
"address_purpose": "LOCATION",
"city": "Brookhaven",
"state": "GA",
"postal_code": "303192253",
"country_code": "US",
"telephone_number": "404-469-9005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYRICK",
"first_name": "LOGAN",
"middle_name": "PAUL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-09",
"last_updated": "2025-11-27",
"certification_date": "2025-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP043916T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "CP035275T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14748",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304936",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42664",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP0277702T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.