Logan Smith

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0006130 Issued in CO

Practice address

5225 W 11TH St Apt 1611
Greeley, CO 80634-2183

Phone

(413) 977-9310

NPI assigned

Apr 5, 2021

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1669051041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 W 11TH ST APT 1611",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 W 11TH ST APT 1611",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342183",
            "telephone_number": "413-977-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0006130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra S Smith, NNP
• Emma Smith
• Eric Smith, BS, CAS
• Kane Smith, DO
• Kinsey Smith
• Marilee Ann Smith, PSYD
• Mark R Smith, DDS
• Megan Smith
• Michelle Smith, DPT
• Nancy Barnard Smith, O.D.

• Occupational Therapist in Greeley, CO
• Providers in Greeley, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.