Rachel Annette Logan, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005260 Issued in GA

Practice address

3964 Florida Ave
Jay, FL 32565-1104

Phone

(850) 741-6715

Fax

(850) 204-0489

NPI assigned

Jul 21, 2011

Last updated

Mar 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1851689079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 FLORIDA AVE",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651104",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 FLORIDA AVE",
            "city": "JAY",
            "state": "FL",
            "postal_code": "325651104",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 McAbee Ct",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614756",
            "country_code": "US",
            "telephone_number": "850-741-6715",
            "fax_number": "850-204-0489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Sandy Lake Cir",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144103",
            "country_code": "US",
            "telephone_number": "706-594-9537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "RACHEL",
        "middle_name": "ANNETTE",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Brian Jorgensen, D.O.
• Jeffery Scott Kelley, MD
• Jimmie Dwight Lassiter Jr., DMD
• Lauren Reeves Counseling PA
• Linda Glenny, LLC
• Loving Care Sitters, Inc.
• Mark J Elder DO PA (Heritage Family Medicine and Wellness)
• Destiny Mead
• Arthur P Menard, LPTA
• Taylor Elizabeth Miller, PTA

• Occupational Therapist in Jay, FL
• Providers in Jay, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.