Active NPI
Marsha Logan, DC
- Chiropractor
- Braintree, MA
National Provider Identifier
1669535985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1634
- Practice address
- 409 Pond St Ste 9
Braintree, MA 02184-6854 - Phone
- (781) 843-8187
- Fax
- (781) 817-0022
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1634 | MA | Primary |
Addresses
Primary practice location
409 Pond St Ste 9
Braintree, MA 02184-6854
Mailing address
409 Pond St Ste 9
Braintree, MA 02184-6854
Phone (781) 843-8187
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 |
|---|---|---|---|
| 1634 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669535985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 POND ST STE 9",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021846854",
"telephone_number": "781-843-8187",
"fax_number": "781-817-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 POND ST STE 9",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021846854",
"telephone_number": "781-843-8187",
"fax_number": "781-817-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "MARSHA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braintree, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.