| Logan Richardson, OTR/L | |
|
20330 N Cave Creek Rd Ste A-150, Phoenix, AZ 85024-4465 | |
| (602) 765-4338 | |
| (602) 765-4761 |
| Full Name | Logan Richardson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 3 Years |
| Location | 20330 N Cave Creek Rd Ste A-150, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235819491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 125113 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | OTH-010369 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dht Hand Therapy Limited Partnership | 0547362691 | 22 |
| Provider Name | Dht Hand Therapy Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629137997 PECOS PAC ID: 0547362691 Enrollment ID: O20070221000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Richardson, OTR/L 1860 N 95th Ln Ste 105, Phoenix, AZ 85037-4333 Ph: (602) 765-4338 | Logan Richardson, OTR/L 20330 N Cave Creek Rd Ste A-150, Phoenix, AZ 85024-4465 Ph: (602) 765-4338 |
Rebecca Ebbert, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7540 N 19th Ave, Phoenix, AZ 85021 Phone: 888-873-4221 Fax: 888-543-2289 |
Kristina Nalder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006 |
Tabitha Macziewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028 Phone: 602-368-8601 Fax: 602-368-8605 |
Christina Hyland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4641 N 12th St Ste 100, Phoenix, AZ 85014 Phone: 602-281-2896 |
Kristel Ferrer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 E Washington St Ste 108, Phoenix, AZ 85034 Phone: 602-313-8999 |
Giovanna Martinez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4125 N 14th St, Phoenix, AZ 85014 Phone: 602-882-5544 |
Courtney Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13201 S Wakial Loop Apt 1094, Phoenix, AZ 85044 Phone: 602-882-2345 |