Kristen Logreco, PT, DPT, CCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1250051 Issued in TX

Practice address

5034 New Forest St
#8309
San Antonio, TX 78229-5459

Phone

(210) 281-5401

Fax

(210) 281-5401

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Perry Former name

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1467857201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 NEW FOREST ST",
            "address_2": "#8309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295459",
            "telephone_number": "210-281-5401",
            "fax_number": "210-281-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 NEW FOREST ST",
            "address_2": "#8309",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295459",
            "telephone_number": "210-281-5401",
            "fax_number": "210-281-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGRECO",
        "first_name": "KRISTEN",
        "credential": "PT, DPT, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1250051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PERRY",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Priyadarshini Loganathan, MD
• Kelley Patricia Logans-Ali, LCSW-S
• Mitchell Logeais
• Kathleen Loggins
• Logos Medical Group Inc.
• Jason William Logsdon, LMSW
• Alicia Josephine Logue, MD
• Tuan-Hsing Loh
• Traci Rebecca Lohbeck, DO
• Oi Ieng Loi

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.