Organization Active NPI

Logic Neurotherapy Center

  • Rehabilitation Clinic/Center
  • El Paso, TX
National Provider Identifier
1457600793
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
109107 Issued in TX
Legal business name
LOGIC NEUROTHERAPY CENTER
Practice address
7618 Boeing Dr
Suite F
El Paso, TX 79925-1153
Phone
(915) 843-2454
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Christopher L Johnson, OTR
Title
Owner/Director
Phone
(915) 843-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 109107 TX Primary

Addresses

Primary practice location

7618 Boeing Dr
Suite F
El Paso, TX 79925-1153

Mailing address

7618 Boeing Dr
Suite F
El Paso, TX 79925-1153

National Provider Directory

National Provider Directory

Locations

7618 Boeing Dr
Ste F
El Paso, TX 79925
Phone (915) 843-2454

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1457600793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 BOEING DR",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7618 BOEING DR",
            "address_2": "SUITE F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251153",
            "telephone_number": "915-843-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGIC NEUROTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "915-843-2454",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "109107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.