Individual provider Active NPI

Logan Sillies

  • Physical Therapist
  • Harrison, OH
National Provider Identifier
1912483207
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017587 Issued in OH
Practice address
1149 Stone Dr Ste 500
Harrison, OH 45030-2728
Phone
(513) 367-9299
NPI assigned
Jul 19, 2018
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017587 OH Primary

Addresses

Primary practice location

1149 Stone Dr Ste 500
Harrison, OH 45030-2728

Mailing address

3268 Rockacres CT
Cincinnati, OH 45239-6113
Phone (513) 245-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307003360 OH Practitioner - Physical Therapist in Private Practice 1658610662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Limits Health AllianceGroup PAC ID 9830438084, 7 clinicians

Practice addresses (Care Compare)

3530 Springdale Rd
Cincinnati, OH 45251-1331
Phone (513) 245-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017587OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Limits Health Alliance Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients
Lees Rehabilitation Services Inc Physical Therapist PastSince Jul 24, 2017 Accepting new patients

Locations

3377 Compton Rd
Ste 140
Cincinnati, OH 45251
Phone (513) 245-0100

3530 Springdale Rd
Cincinnati, OH 45251
Phone (513) 245-0100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1912483207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 ROCKACRES CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452396113",
            "telephone_number": "513-245-0100",
            "fax_number": "513-245-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 STONE DR STE 500",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302728",
            "telephone_number": "513-367-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLIES",
        "first_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.