Individual provider Active NPI

Logan William Heckert, DPT

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1962932616
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11300 Issued in TN
Practice address
1642 Memorial Blvd
Murfreesboro, TN 37129-2104
Phone
(615) 895-8157
Fax
(615) 895-8159
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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 11300 TN Primary

Addresses

Primary practice location

1642 Memorial Blvd
Murfreesboro, TN 37129-2104

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930

Other practice location 1

300 Stonecrest Blvd Ste 300
Smyrna, TN 37167-6801
Phone (615) 267-6600

Other practice location 2

4323 Carothers Pkwy Ste 600
Franklin, TN 37067-5922
Phone (615) 236-5000

Other practice location 3

1800 Medical Center Pkwy Ste 200
Murfreesboro, TN 37129-2566
Phone (615) 896-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003474 TN Practitioner - Physical Therapist in Private Practice 1456623685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

100 Hunters LN
Suite 200
Tullahoma, TN 37388-8265
Phone (931) 455-1980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Jun 15, 2017 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince May 7, 2018 Accepting new patients
Independent Physical Therapy Physical Therapist CurrentSince May 7, 2018 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jun 15, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

1948 Decherd Blvd
Ste 200
Decherd, TN 37324
Phone (423) 238-7568

4323 Carothers Pkwy
Ste 600
Franklin, TN 37067
Phone (615) 236-5000

1800 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 278-1634

1800 Medical Center Pkwy
Ste 100
Murfreesboro, TN 37129
Phone (615) 278-1634

1642 Memorial Blvd
Murfreesboro, TN 37129
Phone (615) 895-8157

2812 Old Fort Pkwy
Ste D
Murfreesboro, TN 37128
Phone (615) 603-7374

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

8 City Blvd
Ste 300
Nashville, TN 37209

300 Stonecrest Blvd
Ste 300
Smyrna, TN 37167
Phone (615) 267-6600

100 Hunters Ln
Ste 200
Tullahoma, TN 37388
Phone (931) 455-1980

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

201 S McCrary St
Woodbury, TN 37190
Phone (615) 563-1439

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1962932616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8930",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 MEMORIAL BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292104",
            "telephone_number": "615-895-8157",
            "fax_number": "615-895-8159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Stonecrest Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676801",
            "country_code": "US",
            "telephone_number": "615-267-6600",
            "fax_number": "615-267-6603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Carothers Pkwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675922",
            "country_code": "US",
            "telephone_number": "615-236-5000",
            "fax_number": "615-236-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Medical Center Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292566",
            "country_code": "US",
            "telephone_number": "615-896-6800",
            "fax_number": "615-895-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKERT",
        "first_name": "LOGAN",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.