Logan Robertson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

212517

Practice address

12708 Riata Vista Cir
Austin, TX 78727-7167

Phone

(512) 795-2422

NPI assigned

Feb 17, 2018

Last updated

Feb 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Logan Delight Robertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1336649292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 COLUMBIA FALLS DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12708 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277167",
            "telephone_number": "512-795-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "212517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOGAN",
            "last_name": "ROBERTSON",
            "middle_name": "DELIGHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jana Robertson, STA
• Jessica Robertson
• Jill Robertson, LPC
• Katherine Grace Robertson, RN
• Laconya Robertson, RN, FNP
• Margaret Stacie Robertson, MA, LMFT
• Nathanael Robertson, LCSW
• Ryan Robertson, DDS
• Sarah Michelle Robertson, LMSW
• Shanithia Robertson

• Occupational Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; 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.