Individual provider Active NPI

Logan James Donaldson, DC

  • Rehabilitation Chiropractor
  • Nolensville, TN
National Provider Identifier
1295522563
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHR.0008916 Issued in CO
Practice address
7175 Nolensville Rd Ste 208
Nolensville, TN 37135-9656
Phone
(970) 292-7316
NPI assigned
Apr 21, 2025
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CHR.0008916 CO Primary

Addresses

Primary practice location

7175 Nolensville Rd Ste 208
Nolensville, TN 37135-9656

Mailing address

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008916COMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Form Theory PLLC Rehabilitation CurrentSince Sep 28, 2025 Accepting new patients

Locations

312A Wilson Pike Cir
Brentwood, TN 37027
Phone (615) 499-5453

116 Agnes Rd
Ste 200
Knoxville, TN 37919
Phone (270) 246-0319

7175 Nolensville Rd
Ste 208
Nolensville, TN 37135
Phone (615) 722-0698

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, 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": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1295522563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AGNES RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 NOLENSVILLE RD STE 208",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359656",
            "telephone_number": "970-292-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "LOGAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "CHR.0008916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nolensville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.