| 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 |
|---|---|
| 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 |