Logan Berlof, PT, DPT, CSCS
Individual provider Active NPI Sports Physical Therapist · Prosper, TX
NPI 1831972652 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1831972652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physical Therapist 2251S0007X
- License
- 1379072 (TX)
- Practice address
- 700 Industry Way Ste 40
Prosper, TX 75078-3116 - Phone
- (469) 919-6299
- NPI assigned
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1379072 | TX | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Built 4 It Athletics LLC | Current |
Accepting new patients |
Locations
700 Industry Way
Ste 40
Prosper, TX 75078
Phone (469) 919-6299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 1379072 | TX | Yes |
Addresses
Primary practice location
700 Industry Way Ste 40
Prosper, TX 75078-3116
Mailing address
6688 John Hickman Pkwy Apt 509
Frisco, TX 75034-9629
Other providers in Prosper, TX
- Lorianne Michelle Baugh
- Amy Baum-Jones
- Jackson Behrens
- Belay on Autism Services
- Sylia N/a Benjamin
- Wendy Carolina Bernal
- Adrian Bertulfo
- Lisa Lee Besch
- Sharlaw Bhargava
- Soumya Billa
All providers in Prosper, TX · Sports Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.