Logan Vashon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5753 Issued in ME

Practice address

8820 E Broadway Blvd
Tucson, AZ 85710-4035

Phone

(520) 829-7741

NPI assigned

Oct 23, 2020

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Male

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 AZ

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.

• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  Medicare reassignment NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD
• Foothills Sports Medicine & Rehabilitation, LLC

  dba ProActive Physical Therapy

  • Physical Therapist
  • Tucson, AZ
  • NPI 1699405050
  NPD
• Eugene Physical Therapy at Oak Street

  • Orthopedic Physical Therapist
  • Eugene, OR
  • NPI 1326291519
  NPD (past)

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1669071221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381340",
            "telephone_number": "207-839-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104035",
            "telephone_number": "520-829-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASHON",
        "first_name": "LOGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebie Varghese, MD
• Malvika Varma, M.D.
• Vasco Healthcare Inc
• Vasco Healthcare Inc
• Sonya J Vasconcellos, R.N.
• Gabriela Vasilakis, OD
• Gopi Krishna Vasireddy, DMD
• Sreekanth Vasireddy, MD
• Cassandra Vasquez-Martinez
• Luz del Carmen Vasquez-Rashan, PHARMACY TECHNICIAN

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.