Individual provider Active NPI

Logan M Pollard, DPT, PT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1336091578
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6959 Issued in NV
Practice address
1610 Robb Dr Ste D5
Reno, NV 89523-3520
Phone
(775) 746-9222
Fax
(775) 746-9224
NPI assigned
Feb 11, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6959 NV Primary

Addresses

Primary practice location

1610 Robb Dr Ste D5
Reno, NV 89523-3520

Mailing address

1450 E Prater Way Ste 103
Sparks, NV 89434-8973
Phone (775) 746-9222

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
6959NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Custom Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1336091578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E PRATER WAY STE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348973",
            "telephone_number": "775-746-9222",
            "fax_number": "775-746-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ROBB DR STE D5",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895233520",
            "telephone_number": "775-746-9222",
            "fax_number": "775-746-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "LOGAN",
        "middle_name": "M",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.