Logan Wrenn Luzadder, DC, ATC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104-557362 Issued in VA

Practice address

1479 Route 539
Little Egg Harbor TWP, NJ 08087-9609

Phone

(609) 829-5656

Fax

(609) 257-0002

NPI assigned

Jul 28, 2016

Last updated

Oct 23, 2024By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thompson Medical and Chiropractic LLCGroup PAC ID 5395008163, 48 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thompson Medical and Chiropractic LLC

  dba Thompson Healthcare & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Forked River, NJ
  • NPI 1942755103
  Medicare reassignment Care Compare group NPD
• Life Clinic of NJ DC PA

  • Chiropractor
  • Plainsborough, NJ
  • NPI 1720575178
  Medicare reassignment NPD
• Thompson Medical and Chiropractic LLC

  dba Thompson Healthcare & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Wall Township, NJ
  • NPI 1215604103
  NPD
• Arlington Prenatal & Family Chiropractic

  • Chiropractor
  • Arlington, VA
  • NPI 1801745823
  NPD (past)
• Capitol Rehab Baileys

  • Chiropractor
  • Arlington, VA
  • NPI 1972531622
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1356894117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 ROUTE 539 UNIT 2A",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080879609",
            "telephone_number": "609-829-5656",
            "fax_number": "609-257-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 ROUTE 539",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080879609",
            "telephone_number": "609-829-5656",
            "fax_number": "609-257-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZADDER",
        "first_name": "LOGAN",
        "middle_name": "WRENN",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104-557362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Egg Dental
• Melanie Logue
• Suzette D Lohr
• Sheryl Lozo-Weber
• Virginia Leigh Luther
• Fred Lwakaaka, APRN
• Angela Maguire, RYT-500
• Art Margulies
• Albert Matic, PT
• Leigh A McGuigan, OT

• Sports Physician Chiropractor in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.