Logan Scott McCollum

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P25134 Issued in NC

Practice address

2209 Associate Dr
Raleigh, NC 27603-8123

Phone

(919) 322-0049

NPI assigned

Aug 10, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• North Carolina Institute of Sports Biomechanics, LLC

  • Physical Therapy Clinic/Center
  • Apex, NC
  • NPI 1780090324
  NPD (past)

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1336063551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 ASSOCIATE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038123",
            "telephone_number": "919-322-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 ASSOCIATE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038123",
            "telephone_number": "919-322-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "LOGAN",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P25134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane Yongue McClure, LPC
• Susan Young McClure, PH.D.
• Adam McCluskey, PT, DPT
• Amanda Blalock McCollough, CRNA
• Annie Carolina McCollum
• Monique McCollum
• Joshua Dean McConaghay, FNP
• Erin Kathleen McConahy, PA-C
• Kelly Rebecca McConkey, MA, LPC, NCC
• Jarred McConnell, DNP, CRNA

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.