Casey Nicole Logan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0019448 Issued in CO

Practice address

6385 Corporate Dr Ste 307
Colorado Springs, CO 80919-5913

Phone

(719) 219-9795

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Casey Nicole Deming Former name

Medicare fee-for-service enrollment

Enrolled in CO, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Provec Rehab PLLCGroup PAC ID 9537539614, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Provec Rehab PLLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1871210419
  Medicare reassignment Care Compare group NPD
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  VA

  Medicare reassignment
• Select Physical Therapy of Colorado Springs LP

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1366411985
  NPD (past)
• Select Physical Therapy of Colorado Springs LP

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1952910499
  NPD (past)

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1346023645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6173 LANTANA LIGHT VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223456",
            "telephone_number": "813-765-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 CORPORATE DR STE 307",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809195913",
            "telephone_number": "719-219-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "CASEY",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019448",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT40541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "DEMING",
            "middle_name": "NICOLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Loewenstein, DACM,LAC.
• Seth Lofgreen, MD
• Madison Lofthus
• Stacy Lofton, MS, RD
• Taylor Lofton
• Joan Logan, CNS LPC
• Joshua Allen Logan, DC
• Karlos Logan
• Rebecca Lorraine Logan, DO
• Matthew S Logsdon, MD

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.