Kenton R. Logan, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

03521 Issued in LA

Practice address

5435 Highway 1
Marksville, LA 71351

Phone

(318) 253-8846

Fax

(318) 253-8875

NPI assigned

Oct 18, 2006

Sex

Male

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 LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Center of Avoyelles LLCGroup PAC ID 6406951219, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapy Center of Avoyelles, LLC

  • Physical Therapy Clinic/Center
  • Marksville, LA
  • NPI 1528156510

  Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952482432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "71351",
            "telephone_number": "318-253-8846",
            "fax_number": "318-253-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "71351",
            "telephone_number": "318-253-8846",
            "fax_number": "318-253-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "KENTON",
        "middle_name": "R.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "03521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber S Laprairie, OT
• Jessica L. Lemoine, MS,CCC-SLP
• John Edward Lemoine, M.D.
• Shannon J Lemoine, PT
• Veda Elaine Lewis, RN,LMT
• Louisiana CVS Pharmacy, L.L.C.
• Louisiana Health Care Practitioners LLC
• Louisiana Kidney Specialists
• Loving Hearts Caring Hands
• Susan Lafargue Maillet, MHC COUNSELOR

• Specialist in Marksville, LA
• Providers in Marksville, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.