Active NPI
Logan Rollins Duffy
- Physical Therapist
- Indian Trail, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24726
- Practice address
- 4514 Old Monroe Rd Ste B
Indian Trail, NC 28079-5308 - Phone
- (980) 890-8850
- NPI assigned
- Aug 20, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | P24726 | NC | Primary |
Addresses
Primary practice location
4514 Old Monroe Rd Ste B
Indian Trail, NC 28079-5308
Mailing address
4212 Matthews LN
Kensington, MD 20895-4036
Phone (703) 919-1913
Other practice location 1
14955 Shady Grove Rd
Rockville, MD 20850-8700
Phone (301) 984-6594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4514 Old Monroe Rd
Suite B
Indian Trail, NC 28079-5308
Phone (980) 890-8850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P24726 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
Locations
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
4514 Old Monroe Rd
#B
Indian Trail, NC 28079
Phone (980) 890-8850
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1700619467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 MATTHEWS LN",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208954036",
"telephone_number": "703-919-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 OLD MONROE RD STE B",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280795308",
"telephone_number": "980-890-8850"
}
],
"practiceLocations": [
{
"address_1": "14955 Shady Grove Rd",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208508700",
"country_code": "US",
"telephone_number": "301-984-6594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUFFY",
"first_name": "LOGAN",
"middle_name": "ROLLINS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-20",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian Trail, NC
- Sarah Drew, DMD
- Drive of Faith Transportation Inc
- DRS. Ganglani, Johal, Dunning & Associates PLLC, II (Fresh Dental)
- Rebecca Ann Dubose
- Jonathan Ducar, B.PHARM
- Crystal Lynn Duke, MA CCC/SLP
- Mercedes Antonia Duncan, DMD
- Rachel Noelle Durban, OTR/L
- Dva Healthcare Renal Care Inc (Crooked Creek Dialysis)
- Eastover Obstetrics and Gynecology Associates Inc (Atrium Health Women's Care Eastover OB/GYN)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.