Logan Kraft, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11970 Issued in SC

Practice address

211 Wood Thrush Way
Summerville, SC 29486-5335

Phone

(843) 568-4786

Fax

(888) 965-4405

NPI assigned

Jul 20, 2024

Last updated

Jul 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689
  Medicare reassignment NPD

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1316785512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 TELFAIR WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122378",
            "fax_number": "888-965-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WOOD THRUSH WAY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294865335",
            "telephone_number": "843-568-4786",
            "fax_number": "888-965-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "LOGAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lou Korpon, CPNP
• Allison Elizabeth Kosinski
• Ryanah Kourani
• KPD LLC (Knightsville Pediatric Dentistry)
• Kelley Kraft
• Jeffrey Patrick Kraichely, D.C.
• Catherine Ruth Kramp, MD
• George W. Kredich, D.D.S.
• Kimberly J. Kreft, OT
• Noelle Marguerite Kristan, LPC-A

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; 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.