Active NPI
Logan Robinson, OTR/L
- Occupational Therapist
- Radcliff, KY
National Provider Identifier
1730778341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 165692
- Practice address
- 75 Nature TRL
Radcliff, KY 40160-9111 - Phone
- (270) 351-0098
- NPI assigned
- Jan 18, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 165692 | KY | Primary |
Addresses
Primary practice location
75 Nature TRL
Radcliff, KY 40160-9111
Mailing address
75 Nature TRL
Radcliff, KY 40160-9111
Phone (270) 351-0098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210212001023 | KY | Practitioner - Occupational Therapist in Private Practice | 4082029616 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Eastpoint Pkwy
Suite 120
Louisville, KY 40223-4154
Phone (502) 253-6689
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165692 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Associates Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689
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.
-
- Neurology Physician
- Louisville, KY
- NPI 1386872471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1730778341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 NATURE TRL",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609111",
"telephone_number": "270-351-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NATURE TRL",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401609111",
"telephone_number": "270-351-0098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "LOGAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "165692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.