Zachary Silas Logeson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37510 Issued in FL

Practice address

8629 SW 89TH LN
Gainesville, FL 32608

Phone

(352) 222-0295

NPI assigned

Nov 29, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1962945535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD STE 133B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402029",
            "telephone_number": "321-421-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8629 SW 89TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-222-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGESON",
        "first_name": "ZACHARY",
        "middle_name": "SILAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37510",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bailey Loftus
• Tyler John Loftus, M.D.
• Abigail Christine Logan
• Aniruddha Das Logan, DO
• Daniel P Logan, MD
• Sara A Lohbauer, DO
• Laura Lok
• Mariam Loka, DO
• Autumn Lokan
• Ashley Elizabeth Lombardi, M.S.W, LCSW

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.