Logan William Taylor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2023032902 Issued in MO

Practice address

1630 East Bradford Parkway
Suite E
Springfield, MO 65804-6513

Phone

(417) 881-2900

Fax

(417) 881-2918

NPI assigned

Oct 11, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Clay Therapy LLC

  • Physical Therapist
  • Springfield, MO
  • NPI 1962614503
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1427839810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 EAST BRADFORD PARKWAY",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046513",
            "telephone_number": "417-881-2900",
            "fax_number": "417-881-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 EAST BRADFORD PARKWAY",
            "address_2": "SUITE E",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046513",
            "telephone_number": "417-881-2900",
            "fax_number": "417-881-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LOGAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023032902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse Ann Taylor, LMT
• Andrew James Taylor, LMSW
• Jennifer M Taylor, P.A.
• Jesse G. Taylor, M.D.
• Judith Taylor, LPT
• Margaret E Taylor, MD
• Matt Taylor, PT, DPT, CWS, WCS
• Molly C Taylor, MS, LPC
• Nicole I. Taylor, PA-C
• Rachel Leeann Taylor, DPT

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.