Logan Jonathan Powell, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14-04021 Issued in KS

Practice address

1311 Wakarusa Drive, Lawrence KS Suite 1000
Suite 1000
Lawrence, KS 66049-6604

Phone

(785) 749-1300

Fax

(785) 749-4746

NPI assigned

Apr 27, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1447948401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DRIVE, LAWRENCE KS",
            "address_2": "SUITE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DRIVE, LAWRENCE KS SUITE 1000",
            "address_2": "SUITE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660496604",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LOGAN",
        "middle_name": "JONATHAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "14-04021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina L Porter, LSCSW
• Taylor L Porter, M.D.
• Lisa Elaine Potter, LSCSW
• Shila Poudel
• Hannah Elise Powell, MA SLP CCC
• Elizabeth Mary Powers, DDS, MSD
• Lynn M Powers, LSCSW
• Mark A Praeger, M.D.
• Nicholas Arnaycha Prapassorn
• Danielle Marie Pratt

• Physical Therapist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.