Individual provider Active NPI

Brad Edward Logan, MPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1396754487
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1141869 Issued in TX
Practice address
7500 Orrick Dr
Austin, TX 78749-2607
Phone
(512) 745-4106
Fax
(512) 697-8459
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1141869 TX Primary

Addresses

Primary practice location

7500 Orrick Dr
Austin, TX 78749-2607

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120606000754 TX Practitioner - Physical Therapist in Private Practice 5092736710 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spero Rehabilitation, LLCGroup PAC ID 5890988216, 53 clinicians

Practice addresses (Care Compare)

23225 Kingsland Blvd
Suite 600
Katy, TX 77494-3705
Phone (281) 395-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27701CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Spero Rehabilitation LLC Physical Therapist CurrentSince Aug 14, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Doctx3 PLLC CurrentSince Jun 3, 2025 Accepting new patients
Doctx3 PLLC CurrentSince Jun 3, 2025 Accepting new patients
Brad E Logan Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Affiliated Physical Therapy and Rehabilitation Clinic, Inc. Past Accepting new patients
Affiliated Physical Therapy and Rehabilitation Clinic Inc Past Accepting new patients
In-Home Physical Therapy PC PastSince Jan 1, 2014 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

9900 S Interstate 35
Ste P375
Austin, TX 78748
Phone (512) 580-3006

5401 La Crosse Ave
Bldg C
Austin, TX 78739
Phone (512) 852-8134

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

23225 Kingsland Blvd
Ste 600
Katy, TX 77494
Phone (281) 395-9090

2000 S Interstate 35
Ste N5
Round Rock, TX 78681
Phone (512) 244-3822

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1396754487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 ORRICK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492607",
            "telephone_number": "512-745-4106",
            "fax_number": "512-697-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "BRAD",
        "middle_name": "EDWARD",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1141869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.