Active NPI
Logan Marie McDonald, OTR/L
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1649925538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-008717
- Practice address
- 3777 E Houston Ave
Gilbert, AZ 85234-2166 - Phone
- (480) 507-1359
- NPI assigned
- Feb 18, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-008717 | AZ | Primary |
Addresses
Primary practice location
3777 E Houston Ave
Gilbert, AZ 85234-2166
Mailing address
1666 S Extension Rd Apt 18-102
Mesa, AZ 85210-9347
Phone (573) 286-9089
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-008717 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1649925538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 S EXTENSION RD APT 18-102",
"city": "MESA",
"state": "AZ",
"postal_code": "852109347",
"telephone_number": "573-286-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3777 E HOUSTON AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342166",
"telephone_number": "480-507-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LOGAN",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-008717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.