Lara Logan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE006543-L Issued in PA

Practice address

919 Conestoga Rd
Building 3, Suite 114
Bryn Mawr, PA 19010-1352

Phone

(610) 527-0178

NPI assigned

Aug 2, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346241171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WALNUT LN # A3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281700",
            "telephone_number": "215-849-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONESTOGA RD",
            "address_2": "BUILDING 3, SUITE 114",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101352",
            "telephone_number": "610-527-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LARA",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE006543-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hans H. Liu, M.D.
• Melissa Livney, PSYD
• Barbara Patterson Lobb, OTRL
• Karen Lockard
• Thomas Loftus Jr., PT
• Jess Hanley Lonner, M.D.
• Erin Lopes, CRNP
• Wylliam Lotocky
• Karen Pauline Loughlin, R.N.
• Joel Richard Lowenthal, M.D.

• Physical Therapy Assistant in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.