Rachel Annette Logan, MSOTR/L
Individual provider Active NPI Occupational Therapist · Jay, FL
NPI 1851689079 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1851689079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT005260 (GA)
- Practice address
- 3964 Florida Ave
Jay, FL 32565-1104 - Phone
- (850) 741-6715
- Fax
- (850) 204-0489
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT005260 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT005260 | GA | Yes |
Addresses
Primary practice location
3964 Florida Ave
Jay, FL 32565-1104
Mailing address
3964 Florida Ave
Jay, FL 32565-1104
Phone (850) 741-6715
Other practice location 1
101 McAbee Ct
Gulf Breeze, FL 32561-4756
Phone (850) 741-6715
Other practice location 2
330 Sandy Lake Cir
Fayetteville, GA 30214-4103
Phone (706) 594-9537
Other providers in Jay, FL
- Edward Brian Jorgensen
- Jeffery Scott Kelley
- Jimmie Dwight Lassiter Jr.
- Lauren Reeves Counseling PA
- Linda Glenny, LLC
- Loving Care Sitters, Inc.
- Mark J Elder DO PA
- Destiny Mead
- Arthur P Menard
- Taylor Elizabeth Miller
All providers in Jay, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. 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.