Rogan Logsdon, PT, DPT, ATC/L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05014296A Issued in IN

Practice address

10455 Orthopaedic Dr
Newburgh, IN 47630-7955

Phone

(812) 424-9291

NPI assigned

Sep 4, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oa Therapy LLCGroup PAC ID 7618006453, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oa Therapy LLC

  • Physical Therapy Clinic/Center
  • Evansville, IN
  • NPI 1376865071

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1508534348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 BEAVER TRL",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157049",
            "telephone_number": "317-946-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 ORTHOPAEDIC DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307955",
            "telephone_number": "812-424-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "ROGAN",
        "credential": "PT,  DPT, ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Littlehale, MD
• Boshen Liu, MD
• Xiafei Liu
• Jackie Lively
• Shianne Lane Lockhart
• Lloyd Long, M.D.
• Sarah Ellen Long, ACNP
• John Christopher Longstaff, RPH
• Stacie B Longstaff
• Tiffany Lori Lopez, MSW, LICSW

• Physical Therapist in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.