Anna J Logan, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-1753 Issued in WY

Practice address

918 W Brundage LN
Sheridan, WY 82801-5827

Phone

(307) 673-4420

NPI assigned

Nov 28, 2023

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 SD, WY2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William H and Carrie Gottsche FoundationGroup PAC ID 5092606293, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• William H and Carrie Gottsche Foundation

  dba Gottsche Rehabilitation Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Thermopolis, WY
  • NPI 1558319392
  Medicare reassignment Care Compare group NPD
• Prestige Rehab LLC

  • Physical Therapist
  • Colts Neck, NJ
  • NPI 1750032553

  Occupational Therapist, SD

  Medicare reassignment NPD
• Prestige Rehab SD PLLC

  • Physical Therapist
  • Sioux Falls, SD
  • NPI 1356172696

  Occupational Therapist

  NPD
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1912773235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KENWOOD DR",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012638",
            "telephone_number": "307-629-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W BRUNDAGE LN",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015827",
            "telephone_number": "307-673-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ANNA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaye Livingston
• Chad Michael Lobdell, PCSW
• Amanda Lenore Loessberg, LCSW
• Greg R. Loftus, RD
• Jan Loftus, R.D.
• Melissa Long
• Lucy Looper, PMHNP-BC
• Chrystal Marie Frances Lopez, RD
• Lisa Lowe
• Genevieve Lowery

• Occupational Therapist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.