Logan Shelton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5888 Issued in OK

Practice address

5905 Remington Cir
Fort Smith, AR 72903-6523

Phone

(479) 452-7773

Fax

(479) 452-7774

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By 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 AR, TX2 enrollments

Enrollment records 2

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.

• Total Rehabilitation, Inc

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1104909118
  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care

  • Rural Acute Care Hospital
  • Talihina, OK
  • NPI 1659347623

  TX

  Medicare reassignment NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic - Broken Bow

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Broken Bow, OK
  • NPI 1447143532
  NPD
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Care Clinic-Mcalester

  • Primary Care Clinic/Center
  • McAlester, OK
  • NPI 1952377939
  NPD
• Total Rehabilitation, Inc

  dba Van Der Watt Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Fort Smith, AR
  • NPI 1174902340
  NPD (past)
• Choctaw Nation of Oklahoma

  dba Choctaw Nation Health Clinic-Broken Bow

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1679184295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11122",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171122",
            "telephone_number": "479-452-7773",
            "fax_number": "479-452-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 REMINGTON CIR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036523",
            "telephone_number": "479-452-7773",
            "fax_number": "479-452-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "LOGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann Shelby, NP
• Leigha Sheldon, M.S., CCC-SLP
• Kyle Shell, ADC
• Blake Shelly
• Cody Shelton
• Mark Shepherd, MHPP
• Sarah Danielle Shepherd
• Shaunda Sheppard, QBHP
• Caroline Sherman
• William M Sherrill, M.D.

• Physical Therapist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.