Elizabeth Ann Logue, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

21503 Issued in CA

Practice address

121 19TH St Apt 15
Huntington Beach, CA 92648-3945

Phone

(657) 464-9628

Fax

(714) 594-3830

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On the Move RehabGroup PAC ID 6709195316, 28 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.

• On the Move Rehab

  • Physical Therapist
  • Cathedral City, CA
  • NPI 1356710925
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1962539809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 19TH ST APT 15",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483945",
            "telephone_number": "657-464-9628",
            "fax_number": "714-594-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 19TH ST APT 15",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483945",
            "telephone_number": "657-464-9628",
            "fax_number": "714-594-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "21503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleo Velendia Lloyd, LCSW
• Ling Lo, PA-C
• Loan K. Nguyen DDS Inc
• Randi Lochray
• Annika M Logart, DDS
• Lokahi Physical Therapy & Wellness, Inc.
• Lokahi Sports & Orthopedic Physical Therapy Inc
• Dephia Rooswell Lomban
• Kristin Lomeli
• Madison Lonergan

• Geriatric Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.