Logan Vidrine, LOTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

345273 Issued in LA

Practice address

107 Summer LN
West Monroe, LA 71291-3501

Phone

(318) 396-1969

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melanie Massey Physical Therapy IncGroup PAC ID 5890784342, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Melanie Massey Physical Therapy Inc

  • Physical Therapist
  • Monroe, LA
  • NPI 1104922475

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Melanie Massey Infant & Toddler LLC

  • Speech-Language Pathologist
  • West Monroe, LA
  • NPI 1447453865

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1801609946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1377",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913501",
            "telephone_number": "318-396-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "LOGAN",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "345273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Smotherman Vascocu, NP
• Vertigon, LLC
• Veteran's Team Assistance LLC
• Kerry Joseph Viator, D.D.S.
• Lindsey Vickery, SLP
• Village Pharmacy
• Vista Diagnostics (Vista Medical Lab)
• Vista Specialty Hospital of West Monroe LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0307)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2940)

• Occupational Therapist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.

Verify at the official NPI Registry.