Logan Goral, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16327-24

Practice address

600 N Koeller St
Oshkosh, WI 54902-3241

Phone

(920) 799-4696

NPI assigned

Apr 19, 2024

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

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1346095684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S MCCLELLAND ST APT 427",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841066213",
            "telephone_number": "262-312-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549023241",
            "telephone_number": "920-799-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORAL",
        "first_name": "LOGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "16327-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Ross Goldstein, M. D.
• Megan Goltz, COTA
• Angeline Fischer Gonzales, SAC-IT
• Jay M Gonzalez, DO
• Debra K. Goodyear, RN
• Baylee Gorges, PHARMD
• Michael Gospodarek, CRNA
• Sean Gough
• Shaheda Gene Marie Govani, DDS
• Santosh Gowda, M.D.

• Physical Therapist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.