Logan Forrest Waddell

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Practice address

4389 Medina Rd
Copley, OH 44321-1388

Phone

(234) 815-5100

NPI assigned

Apr 11, 2025

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

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1598550337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 WOODLING WAY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569253",
            "telephone_number": "330-608-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 MEDINA RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211388",
            "telephone_number": "234-815-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "LOGAN",
        "middle_name": "FORREST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Nicole Traczyk
• Henry Tucker, MD
• Sheryl Tucker
• Rachel Upp, BCBA
• Versakinetic Therapy, LLC
• Morgan Wallace, PT
• Walter R. Ruf,MD,Inc
• Cassandra Ware
• Ashley L Warner
• Patty Jo Webel, R.N.

• Rehabilitation Hospital in Copley, OH
• Providers in Copley, OH by specialty
• Rehabilitation Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.