Active NPI
Logan Brooks, DPT
- Physical Therapist
- Nashville, TN
National Provider Identifier
1942085436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14914
- Practice address
- 636 Grassmere Park
Nashville, TN 37211-9703 - Phone
- (615) 979-4754
- NPI assigned
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14914 | TN | Primary |
Addresses
Primary practice location
636 Grassmere Park
Nashville, TN 37211-9703
Mailing address
2122 Maricourt St
Old Hickory, TN 37138-1684
Phone (615) 934-2179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14914 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1942085436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 MARICOURT ST",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "371381684",
"telephone_number": "615-934-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 GRASSMERE PARK",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372119703",
"telephone_number": "615-979-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "LOGAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.