Laura Marie Logan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

265950 Issued in KY

Practice address

2701 Magnolia Springs Dr
Lexington, KY 40511-1198

Phone

(859) 410-6575

NPI assigned

Jun 22, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1841869948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DALTON RD",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248005",
            "telephone_number": "859-267-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MAGNOLIA SPRINGS DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111198",
            "telephone_number": "859-410-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "265950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE",
            "identifier": "265950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lofwall, M.D.
• Ashley Logan, PHARMD
• Audrey McCall Logan
• Cameron R. Logan
• Jessica Lindsay Logan, PHARMD
• Jessica Leigh Logeman, MD
• Frederica Caroline Loghides, M.D.
• Sarisha Suresh Lohano
• Sidhant Lohano
• Kristine M Lohr, MD, MS

• Occupational Therapy Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.