Jamila C Rawlings Logan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21101 Issued in MD

Practice address

77 Kettering Dr Ste A1
Upper Marlboro, MD 20774-1676

Phone

(240) 312-2010

Fax

(240) 312-2011

NPI assigned

Sep 10, 2012

Sex

Female

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Navah Physical Therapy LLC

  dba Navah Physical Therapy

  • Orthopedic Physical Therapist
  • Upper Marlboro, MD
  • NPI 1447881396

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1841540580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 KETTERING DR STE A1",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741676",
            "telephone_number": "240-312-2010",
            "fax_number": "240-312-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 KETTERING DR STE A1",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741676",
            "telephone_number": "240-312-2010",
            "fax_number": "240-312-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLINGS LOGAN",
        "first_name": "JAMILA",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charonne Moniique Randall, LCSW-C
• Ja'Bre C Randall
• Shanice Monique Randall, LMSW
• Britney Ransom
• Aileen Marie Raulin, RN CPNP
• Recovery Life Group LLC
• Johanna Reed, MSW
• Laconya L Reed, LCPC, LPC
• Marvin Reese
• Refreshing Springs Assisted Living Homes, Inc

• Physical Therapist in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.