Individual provider Active NPI

Logan Youmans, PT, DPT

  • Orthopedic Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1730868399
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
CP035338T Issued in CO
Practice address
5670 Greenwood Plaza Blvd
Greenwood Village, CO 80111-2448
Phone
(303) 694-9139
NPI assigned
Jul 12, 2023
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT40275 FL
Orthopedic Physical Therapist 2251X0800X CP035338T CO Primary

Addresses

Primary practice location

5670 Greenwood Plaza Blvd
Greenwood Village, CO 80111-2448

Mailing address

45390 Green Ave
Callahan, FL 32011-3711
Phone (904) 879-1223

Other practice location 1

45390 Green Ave
Callahan, FL 32011-3711
Phone (904) 879-1223

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP035338TCOMDOrthopedic Physical Therapist
PT40275FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
MVP Physical Therapy, LLC Physical Therapist PastSince Jun 5, 2018 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
H2 Rehabilitation Services of Florida LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1730868399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45390 GREEN AVE",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320113711",
            "telephone_number": "904-879-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 GREENWOOD PLAZA BLVD",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112448",
            "telephone_number": "303-694-9139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45390 Green Ave",
            "address_purpose": "LOCATION",
            "city": "Callahan",
            "state": "FL",
            "postal_code": "320113711",
            "country_code": "US",
            "telephone_number": "904-879-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUMANS",
        "first_name": "LOGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT40275",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "CP035338T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.