Active NPI
Logan Everette
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1679407126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0021354
- Practice address
- 1600 Specht Point Rd
Fort Collins, CO 80525-4311 - Phone
- (970) 672-5100
- NPI assigned
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0021354 | CO | Primary |
Addresses
Primary practice location
1600 Specht Point Rd
Fort Collins, CO 80525-4311
Mailing address
77 E Thomas Rd
Phoenix, AZ 85012-3115
Phone (602) 878-5768
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1679407126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850123115",
"telephone_number": "602-878-5768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SPECHT POINT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254311",
"telephone_number": "970-672-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETTE",
"first_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-10",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0021354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.