Logan Boote

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019616 Issued in MI

Practice address

1800 W US Highway 223
Adrian, MI 49221-8439

Phone

(517) 263-3378

Fax

(517) 263-4527

NPI assigned

Jun 24, 2020

Sex

Male

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Rehab Specialists PCGroup PAC ID 9133136864, 30 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.

• Orthopaedic Rehab Specialists, PC

  • Physical Therapist
  • Jackson, MI
  • NPI 1619956646
  Medicare reassignment Care Compare group NPD
• 3 Dimensional Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Adrian, MI
  • NPI 1164676730
  Medicare reassignment
• Brzezinski Chiropractic, PLLC

  • Chiropractor
  • Brooklyn, MI
  • NPI 1720420326
  NPD

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1386260446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218439",
            "telephone_number": "517-263-3378",
            "fax_number": "517-263-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218439",
            "telephone_number": "517-263-3378",
            "fax_number": "517-263-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1277 E Siena Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492211755",
            "country_code": "US",
            "telephone_number": "517-266-3641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1434 W Chicago Blvd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492868727",
            "country_code": "US",
            "telephone_number": "517-424-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 S Main St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "MI",
            "postal_code": "492309158",
            "country_code": "US",
            "telephone_number": "517-938-5980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492219008",
            "country_code": "US",
            "telephone_number": "517-264-2790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTE",
        "first_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Boehlke, LSW
• Kaitlyn Boehmer
• Dayne Matthew Bohn
• Bone & Joint Medical Center, PC
• Kristina Boote, DPT
• Rebecca Sue Border, NURSE PRACTITIONER
• Margaret Borgstahl
• Kathryn Sue Boring, LLBSW
• Angela Renee Borton, M.A. CCC-SLP
• Matthew Alan Borucki

• Physical Therapist in Adrian, MI
• Providers in Adrian, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.