Individual provider Active NPI

Brandon Todd Logsdon, PT

  • Physical Therapist
  • West Grove, PA
National Provider Identifier
1952817074
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014317 Issued in PA
Practice address
200 Sycamore Dr
West Grove, PA 19390-8818
Phone
(610) 869-6768
NPI assigned
Dec 27, 2017
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 PT014317 PA Primary

Addresses

Primary practice location

200 Sycamore Dr
West Grove, PA 19390-8818

Mailing address

613 Cricklewood Rd
West Chester, PA 19382-8507
Phone (484) 266-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190829000627 PA Practitioner - Physical Therapist in Private Practice 4789912759 Reassigns benefits to 2 organizations
I20231229002320 DE Practitioner - Physical Therapist in Private Practice 4789912759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Therapy Services, LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Nov 15, 2023 Accepting new patients
Rehab1 LLC Physical Therapist CurrentSince Aug 7, 2019 Accepting new patients
Wyomissing Behavior Analysts, LTD. Past Accepting new patients

Locations

701 Foulk Rd
Ste 2A
Wilmington, DE 19803

7 Carnegie Plz
Cherry Hill, NJ 08003

150 Monument Rd
Ste 202
Bala Cynwyd, PA 19004

147 W State St
Kennett Square, PA 19348
Phone (610) 444-0741

263 Glen Riddle Rd
Media, PA 19063
Phone (610) 358-9933

105 Dries Rd
Reading, PA 19605
Phone (610) 926-7600

1201 Museum Rd
West Reading, PA 19611
Phone (610) 478-1201

3121 State Hill Rd
Wyomissing, PA 19610
Phone (610) 927-0310

Organizations & group practices 4

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": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1952817074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CRICKLEWOOD RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828507",
            "telephone_number": "484-266-0387",
            "fax_number": "484-266-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SYCAMORE DR",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908818",
            "telephone_number": "610-869-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGSDON",
        "first_name": "BRANDON",
        "middle_name": "TODD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT014317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.