Logan Crabtree, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-033475 Issued in AZ

Practice address

125 S 2ND St
Sierra Vista, AZ 85635-2519

Phone

(520) 459-1386

NPI assigned

Mar 4, 2024

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainey Pain and Performance PCGroup PAC ID 9830486521, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Rainey Pain & Performance, P.C.

  • Physical Therapy Clinic/Center
  • Sierra Vista, AZ
  • NPI 1952758831
  Medicare reassignment Care Compare group NPD
• Champion Speech & Language Therapy LLC

  • Speech-Language Pathologist
  • Sierra Vista, AZ
  • NPI 1215420757
  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1669239091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 KEATING ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S 2ND ST",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352519",
            "telephone_number": "520-459-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRABTREE",
        "first_name": "LOGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Suzanne Cook, CRNA
• Coronado Surgery Center LLC
• Eileen Ann Coulston, NURSE PRACTITIONER
• Counselorheidi, LLC
• Cheri Courrege, RN
• Fredrick Michael Cramer, M.D.
• Kara Kae Creech, RN
• Matthew Crosby, D.O.
• Pamela Lynne Crouch
• Sofia Anna Crowe, LCSW

• Physical Therapist in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.