Tyler Logan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28248 Issued in MD

Practice address

12510 Fairwood Pkwy
Bowie, MD 20720-6343

Phone

(301) 859-0003

Fax

(240) 913-9223

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 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 DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Healing Institute of Physical Therapy LLC

  • Physical Therapist
  • Capitol Heights, MD
  • NPI 1669289682

  DC

  Medicare reassignment NPD Authorized official
• LHMG Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Annapolis, MD
  • NPI 1396122842

  Physical Therapist

  Medicare reassignment NPD
• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment NPD
• LHMG Physical Therapy, LLC

  dba AAMG Physical Therapy Cape St. Claire

  • Physical Therapist
  • Annapolis, MD
  • NPI 1134763212
  NPD
• LHMG Physical Therapy, LLC

  • Physical Therapist
  • Severna Park, MD
  • NPI 1467942847
  NPD
• Gymfit Health Network, LLC

  dba Gymfit Physical Therapy & Wellness

  • Physical Therapist
  • Waldorf, MD
  • NPI 1407315336
  NPD (past)

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1295485050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SHINING WILLOW WAY UNIT 307",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464224",
            "telephone_number": "301-818-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 FAIRWOOD PKWY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206343",
            "telephone_number": "301-859-0003",
            "fax_number": "240-913-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio D Lindsey
• Charnise Bridgette Littles
• Living Well Counseling and Consulting LLC (Living Well Counseling and Consulting)
• Ashley Lockley
• Abiodun Lofton
• Logistics Health Incorporated
• Susan Haywood Lohr, LCPC
• Michael Lombardo, PTA
• Cheryl Lundeberg Lonergan, M.D.
• Monique Long

• Physical Therapist in Bowie, MD
• Providers in Bowie, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.