Active NPI
Logan Arthur Reeves, OTR/L
- Occupational Therapist
- Saint Louis, MO
National Provider Identifier
1972233120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2022013051
- Practice address
- 3115 S Grand Blvd Ste 224
Saint Louis, MO 63118-1047 - Phone
- (314) 312-2357
- NPI assigned
- Jun 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2022013051 | MO | Primary |
Addresses
Primary practice location
3115 S Grand Blvd Ste 224
Saint Louis, MO 63118-1047
Mailing address
7178 Manchester Rd Apt 208
Maplewood, MO 63143-2458
Phone (213) 364-9194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022013051 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Come Play, STL LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654992000000",
"number": "1972233120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7178 MANCHESTER RD APT 208",
"city": "MAPLEWOOD",
"state": "MO",
"postal_code": "631432458",
"telephone_number": "213-364-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 S GRAND BLVD STE 224",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631181047",
"telephone_number": "314-312-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "LOGAN",
"middle_name": "ARTHUR",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-12",
"last_updated": "2022-06-12",
"certification_date": "2022-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2022013051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.