Individual provider Active NPI

Logan Crawford, DPT

  • Physical Therapist
  • Arnold, MD
National Provider Identifier
1962955294
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26092 Issued in MD
Practice address
1460 Ritchie Hwy Ste 113
Arnold, MD 21012-2704
Phone
(410) 626-8350
Fax
(410) 626-8351
NPI assigned
Aug 3, 2016
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 26092 MD Primary

Addresses

Primary practice location

1460 Ritchie Hwy Ste 113
Arnold, MD 21012-2704

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160928000196 MD Practitioner - Physical Therapist in Private Practice 1153618673 Reassigns benefits to 2 organizations
I20220124002467 DC Practitioner - Physical Therapist in Private Practice 1153618673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1460 Ritchie Hwy 113
Arnold, MD 21012-2704

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
84.06
Improvement activities
40
Cost
73.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26092MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Apr 20, 2023 Accepting new patients
Annapolis Family Physical Therapy, Inc Physical Therapist CurrentSince Apr 20, 2023 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Aug 8, 2016 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Aug 8, 2016 Accepting new patients

Locations

2006 Industrial Dr
Annapolis, MD 21401
Phone (410) 266-7174

2564 Riva Rd
Annapolis, MD 21401
Phone (410) 266-6626

1460 Ritchie Hwy
Ste 113
Arnold, MD 21012
Phone (410) 626-8350

14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203

3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1962955294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY STE 113",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122704",
            "telephone_number": "410-626-8350",
            "fax_number": "410-626-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "LOGAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.