Logan P Blackburn, OT

Individual provider Active NPI Occupational Therapist · Topeka, KS

NPI 1447561576 · NPPES record last updated Feb 10, 2026

Key facts

NPI
1447561576
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17-02661 (KS)
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 354-6116
Fax
(785) 354-5166
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cotton-O'Neil Clinic Revocable Trust (659 clinicians)

Practice addresses (Care Compare)

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 357-0301

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190226001873 KS Practitioner - Occupational Therapist in Private Practice 8921347535 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
17-02661KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Current
since Feb 18, 2019
Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Current
since Feb 18, 2019
Accepting new patients

Locations

1500 SW 10th Ave
Ofc
Topeka, KS 66604

2660 SW 3rd St
Topeka, KS 66606
Phone (785) 270-8880

901 SW Garfield Ave
Topeka, KS 66606

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-02661 KS Yes

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 354-6116

Other providers in Topeka, KS

All providers in Topeka, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.