Individual provider Active NPI

Logan Blaine Arnold, PT

  • Physical Therapist
  • Pocahontas, AR
National Provider Identifier
1508310962
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4148 Issued in AR
Practice address
1415 Commerce Dr
Ste a
Pocahontas, AR 72455-1495
Phone
(870) 248-0800
Fax
(870) 248-0802
NPI assigned
Aug 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4148 AR Primary

Addresses

Primary practice location

1415 Commerce Dr
Ste a
Pocahontas, AR 72455-1495

Mailing address

1415 Commerce Dr
Ste a
Pocahontas, AR 72455-1495
Phone (870) 248-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4148ARMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1508310962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 COMMERCE DR",
            "address_2": "STE A",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551495",
            "telephone_number": "870-248-0800",
            "fax_number": "870-248-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 COMMERCE DR",
            "address_2": "STE A",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551495",
            "telephone_number": "870-248-0800",
            "fax_number": "870-248-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "LOGAN",
        "middle_name": "BLAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.