Logan Marjorie Griffin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008023 Issued in GA

Practice address

210 Walmart Way
Eastanollee, GA 30538-3803

Phone

(706) 282-1025

Fax

(706) 886-8156

NPI assigned

Apr 6, 2021

Last updated

May 11, 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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independent Physical Therapy of Georgia, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068

  Occupational Therapist

  Medicare reassignment NPD
• Independent Physical Therapy of Georgia, LLC

  dba Benchmark PT

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941
  NPD
• Treehouse Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Royston, GA
  • NPI 1124774823
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1649859760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALMART WAY",
            "city": "EASTANOLLEE",
            "state": "GA",
            "postal_code": "305383803",
            "telephone_number": "706-282-1025",
            "fax_number": "706-886-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Spring Station Rd",
            "address_purpose": "LOCATION",
            "city": "Royston",
            "state": "GA",
            "postal_code": "306621989",
            "country_code": "US",
            "telephone_number": "229-821-6572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "LOGAN",
        "middle_name": "MARJORIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lee Edwards
• Bryce Esco
• Fortney Eye Care, LLC
• Ashley Ayn Fortney, O.D.
• Georgia Mountains Community Services (Avita Community Partners)
• Holliday Orthodontics
• Sally Grant Holliday, DMD, MS
• Independent Physical Therapy of Ga, LLC
• Lincare Inc.
• Lowery Dental Group PC

• Occupational Therapist in Eastanollee, GA
• Providers in Eastanollee, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.