Active NPI
Logan Gordon, PT, DPT
- Physical Therapist
- Murfreesboro, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP055934T
- Practice address
- 1272 Garrison Dr Ste 303
Murfreesboro, TN 37129-0053 - Phone
- (615) 849-9358
- NPI assigned
- May 17, 2023
- Last updated
- Sep 11, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016539 | GA | |
| Physical Therapist | 225100000X | 17312 | TN | |
| Physical Therapist | 225100000X | CP055934T | TN | Primary |
| Physical Therapist | 225100000X | CP061642T | SC |
Addresses
Primary practice location
1272 Garrison Dr Ste 303
Murfreesboro, TN 37129-0053
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389
Other practice location 1
1672 N Main St Ste 11
Summerville, SC 29486-7811
Phone (843) 289-1456
Other practice location 2
488 N Main St Ste 204
Alpharetta, GA 30009-2386
Phone (770) 619-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1272 Garrison Dr
Suite 303
Murfreesboro, TN 37129-0053
Phone (615) 849-9358
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP061642T | SC | MD | Physical Therapist |
| 17312 | TN | MD | Physical Therapist |
| CP055934T | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients |
Locations
488 N Main St
Ste 204
Alpharetta, GA 30009
Phone (770) 619-5801
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
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.
-
- Physical Therapist
- Franklin, TN
- NPI 1780291948
-
dba Physio-Gwinnett
- Physical Therapy Clinic/Center
- Lilburn, GA
- NPI 1760568257
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1760173017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-702-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 GARRISON DR STE 303",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290053",
"telephone_number": "615-849-9358"
}
],
"practiceLocations": [
{
"address_1": "1672 N Main St Ste 11",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294867811",
"country_code": "US",
"telephone_number": "843-289-1456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "488 N Main St Ste 204",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300092386",
"country_code": "US",
"telephone_number": "770-619-5801",
"fax_number": "770-619-5806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "LOGAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-17",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016539",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "17312",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "CP055934T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP061642T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.