Individual provider Active NPI

Logan Visnick, COTA/L

  • Occupational Therapy Assistant
  • Reynoldsburg, OH
National Provider Identifier
1679480404
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA008434 Issued in OH
Practice address
8200 Taylor Rd SW
Reynoldsburg, OH 43068-9630
Phone
(614) 558-1769
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X OTA008434 OH Primary

Addresses

Primary practice location

8200 Taylor Rd SW
Reynoldsburg, OH 43068-9630

Mailing address

2976 Stone Mountain Dr
Pickerington, OH 43147-9034
Phone (614) 558-1769

Other practice location 1

6699 E Livingston Ave
Reynoldsburg, OH 43068-3688
Phone (614) 558-1769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1679480404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 STONE MOUNTAIN DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479034",
            "telephone_number": "614-558-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 TAYLOR RD SW",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430689630",
            "telephone_number": "614-558-1769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6699 E Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430683688",
            "country_code": "US",
            "telephone_number": "614-558-1769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISNICK",
        "first_name": "LOGAN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA008434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.