Form Theory PLLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

FORM THEORY PLLC

Practice address

7175 Nolensville Rd Ste 208
Nolensville, TN 37135-9656

Phone

(615) 722-0698

NPI assigned

Sep 23, 2025

Last updated

Sep 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Logan Donaldson, DCNPI 1295522563

Title

Owner/Chiropractor

Phone

(630) 770-6078

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Logan James Donaldson, DC

  • Rehabilitation Chiropractor
  • Nolensville, TN
  • NPI 1295522563
  NPD Authorized official

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1700759156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AGNES RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 NOLENSVILLE RD STE 208",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359656",
            "telephone_number": "615-722-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORM THEORY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "630-770-6078",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Farley, LCSW
• Wyatt Fennell
• First Impressions Pediatric Dentistry
• Laura Ann Fly, RN
• Kylee Elizabeth Forde, BCBA, LBA
• Sara E Fowler, DPT
• Freds Stores of Tennessee Inc (Freds Pharmacy 3781)
• Craig Garvin Futch, PT
• GK Healthcare Solutions, LLC (Optima Advanced Healing)
• Taylor R. Gregory, OTR/L

• Rehabilitation Chiropractor in Nolensville, TN
• Providers in Nolensville, TN by specialty
• Rehabilitation Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.