Casey Nicole Logan, DPT | |
6385 Corporate Dr Ste 307, Colorado Springs, CO 80919-5913 | |
(719) 219-9795 | |
Not Available |
Full Name | Casey Nicole Logan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6385 Corporate Dr Ste 307, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346023645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0019448 (Colorado) | Primary |
2251X0800X | Physical Therapist - Orthopedic | PT40541 (Florida) | Secondary |
Provider Name | Provec Rehab Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871210419 PECOS PAC ID: 9537539614 Enrollment ID: O20230106000030 |
Mailing Address | Practice Location Address |
---|---|
Casey Nicole Logan, DPT 6173 Lantana Light Vw, Colorado Springs, CO 80922-3456 Ph: (813) 765-1445 | Casey Nicole Logan, DPT 6385 Corporate Dr Ste 307, Colorado Springs, CO 80919-5913 Ph: (719) 219-9795 |
Stephen Joseph Chappell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 155 Printers Pkwy, Colorado Springs, CO 80910 Phone: 719-635-8622 | |
Rachel Marie Barton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3605 Austin Bluffs Pkwy, Colorado Springs, CO 80918 Phone: 719-265-6601 | |
Scott Rezac, PT, DPT, OCS, CSCS, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1817 N Union Blvd Ste A, Colorado Springs, CO 80909 Phone: 719-465-1502 | |
Richard L Monaco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1604 E Pikes Peak Ave, Colorado Springs, CO 80909 Phone: 719-630-3193 Fax: 719-630-3195 | |
Mrs. Drue Elizabeth Hanney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6385 Corporate Dr Ste 100, Colorado Springs, CO 80919 Phone: 719-216-3811 Fax: 844-207-6957 | |
Dr. Jennifer Marie Mulligan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4025 Family Pl, Colorado Springs, CO 80920 Phone: 719-471-4415 Fax: 719-547-2487 | |
James Byrne, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 Tenderfoot Hill Rd, Colorado Springs, CO 80906 Phone: 719-576-8380 |