Active NPI
Logan Visnick, COTA/L
- Occupational Therapy Assistant
- Reynoldsburg, OH
National Provider Identifier
1679480404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA008434
- 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
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 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.