| Larken Logan, DPT | |
|
500 Eagle Lake Trl, Rome, GA 30165-2246 | |
| (706) 728-3709 | |
| Not Available |
| Full Name | Larken Logan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 500 Eagle Lake Trl, Rome, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518534601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT011030 (Georgia) | Primary |
| Provider Name | Performance Physical Therapy & Sports Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871738872 PECOS PAC ID: 8426112137 Enrollment ID: O20090126000014 |
| Provider Name | Functional Pathways Preferred of Tennessee LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20150213001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Larken Logan, DPT 10133 Sherrill Blvd Ste 200, Knoxville, TN 37932-3347 Ph: (865) 227-9187 | Larken Logan, DPT 500 Eagle Lake Trl, Rome, GA 30165-2246 Ph: (706) 728-3709 |
Marius Florin Bodiu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726 |
Buffy D Crenshaw, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408 |
Mr. Steven John Wright, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3870 Martha Berry Hwy Ne, Rome, GA 30165 Phone: 706-378-3124 |
Kimberly H Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E 6th Ave, Rome, GA 30161 Phone: 706-378-9044 Fax: 706-378-9046 |
Erin Green Pollock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Shorter Ave Nw, Rome, GA 30165 Phone: 706-235-2727 Fax: 706-235-2726 |
Ryan Blake Cheeley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Turner Mccall Blvd Nw, Rome, GA 30165 Phone: 706-236-2758 Fax: 706-802-1408 |
Robyn Newberry Sell, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 600 Eagle Lake Trl, Rome, GA 30165 Phone: 706-450-8776 |