Active NPI
Heather Lisa Logemann Mackrell, PHD
- Physical Therapist
- Pearland, TX
National Provider Identifier
1609913334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1110740
- Practice address
- 3022 Brookview Dr
Pearland, TX 77584-7035 - Phone
- (713) 718-7682
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1110740 | TX | Primary |
Addresses
Primary practice location
3022 Brookview Dr
Pearland, TX 77584-7035
Mailing address
3022 Brookview Dr
Pearland, TX 77584-7035
Phone (713) 718-7682
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110740 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609913334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 BROOKVIEW DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847035",
"telephone_number": "713-718-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 BROOKVIEW DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847035",
"telephone_number": "713-718-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGEMANN MACKRELL",
"first_name": "HEATHER",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1110740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.