Logan Chaz Rauck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014264A Issued in IN

Practice address

5170 Charlestown Rd Ste 102
New Albany, IN 47150-8400

Phone

(812) 590-8888

Fax

(812) 590-8890

NPI assigned

Aug 12, 2021

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 IN, KY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prorehab LouisvilleGroup PAC ID 4587981337, shared by 5 NPIs, 71 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.

• Prorehab Louisville

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1700282589

  IN, Physical Therapist

  Medicare reassignment NPD
• Prorehab Louisville

  • Physical Therapist
  • Crestwood, KY
  • NPI 1982473880
  Medicare reassignment NPD
• Prorehab Louisville, LLC

  • Physical Therapy Clinic/Center
  • Scottsburg, IN
  • NPI 1053161349

  Physical Therapist

  NPD
• Prorehab of Louisville, LLC

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1205212073

  Physical Therapist

  NPD

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1376218263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5629",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165629",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5170 CHARLESTOWN RD STE 102",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508400",
            "telephone_number": "812-590-8888",
            "fax_number": "812-590-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUCK",
        "first_name": "LOGAN",
        "middle_name": "CHAZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014264A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Rankin, M.D.
• Rasmussen Chiropractic LLC
• Christopher E Rasmussen, D. C.
• Joshua Ratliff, APRN
• Rauch Inc.
• Roneka Leantrice Ravenell, MD
• Brooke Elyse Raymer, APRN
• Lindsey Raymer, RBT
• Syed T Raza, MD
• RDK Pain Management LLC

• Physical Therapist in New Albany, IN
• Providers in New Albany, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.