Active NPI
Logan Aston Ponce, DPT
- Orthopedic Physical Therapist
- Las Vegas, NV
National Provider Identifier
1740796994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4437
- Practice address
- 950 Grier Dr
Las Vegas, NV 89119-3701 - Phone
- (702) 352-0200
- NPI assigned
- Dec 26, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 4437 | NV | |
| Orthopedic Physical Therapist | 2251X0800X | 294086 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 4437 | NV | Primary |
Addresses
Primary practice location
950 Grier Dr
Las Vegas, NV 89119-3701
Mailing address
1720 Forest Walk Dr
Las Vegas, NV 89119-4539
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4437 | NV | MD | Sports Physical Therapist |
| 294086 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1740796994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 FOREST WALK DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 GRIER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891193701",
"telephone_number": "702-352-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "LOGAN",
"middle_name": "ASTON",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-26",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NV",
"license": "4437",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "294086",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NV",
"license": "4437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.