Active NPI
Logan Popp, OT
- Occupational Therapist
- Floyds Knobs, IN
National Provider Identifier
1760932263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006147A
- Practice address
- 3700 Lafeyette Parkway
Floyds Knobs, IN 47119 - Phone
- (812) 923-4888
- NPI assigned
- Oct 7, 2016
- Last updated
- Oct 7, 2016
- 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 | 31006147A | IN | Primary |
Addresses
Primary practice location
3700 Lafeyette Parkway
Floyds Knobs, IN 47119
Mailing address
9480 Priority Way West Dr.
Indianapolis, IN 46240
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006147A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1760932263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9480 PRIORITY WAY WEST DR.",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 LAFEYETTE PARKWAY",
"city": "FLOYDS KNOBS",
"state": "IN",
"postal_code": "47119",
"telephone_number": "812-923-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPP",
"first_name": "LOGAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006147A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floyds Knobs, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.