Monica Logwood

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214396 Issued in VA

Practice address

5818 Harbour View Blvd Ste 150
Suffolk, VA 23435-3327

Phone

(757) 215-1400

NPI assigned

Jun 22, 2021

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1639748999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MALLARD DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348093",
            "telephone_number": "757-650-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 HARBOUR VIEW BLVD STE 150",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353327",
            "telephone_number": "757-215-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGWOOD",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Livoti, DPT
• Kristy Ellen Livsey, MA, LPC
• Leviticus Lofton, LCSW
• Logan and Lynn, LTD. (Denise Rae Mullins)
• Etienne Fox Logan II
• Angela Long
• Cheryl Carter Long, CLO ELO ENTERPRISES
• George Madison Long Jr., DPM
• Ramses Lamont Long, MD
• Katherine Stephenson Loose, PA-C

• Physical Therapist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.