Logan Daniel Gordon, PT, DPT in Alpharetta, GA - Medicare Physical Therapist Provider

Logan Daniel Gordon, PT, DPT is a medicare enrolled "Physical Therapist" provider in Alpharetta, Georgia. His current practice location is 488 N Main St Ste 204, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 619-5801.

Logan Daniel Gordon is licensed to practice in Georgia (license number PT016539) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760173017.

Contact Information

	Logan Daniel Gordon, PT, DPT
	488 N Main St Ste 204, Alpharetta, GA 30009-2386
	(770) 619-5801
	(770) 619-5806

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Daniel Gordon
Gender	Male
Speciality	Physical Therapist
Location	488 N Main St Ste 204, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760173017
Provider Enumeration Date: 05/17/2023
Last Update Date: 05/19/2025

Medicare PECOS Information:

PECOS PAC ID: 5597292490
Enrollment ID: I20241217000377

Medical Identifiers

Medical identifiers for Logan Daniel Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760173017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT016539 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Logan Daniel Gordon allows following entities to bill medicare on his behalf.

Provider Name	Physiotherapy Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760568257 PECOS PAC ID: 3577470442 Enrollment ID: O20241108001033

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Logan Daniel Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Logan Daniel Gordon, PT, DPT 907 Howard Roberts Rd, Gray, GA 31032-4003 Ph: (478) 283-8094	Logan Daniel Gordon, PT, DPT 488 N Main St Ste 204, Alpharetta, GA 30009-2386 Ph: (770) 619-5801

Reviews and Comments

Physical Therapist in Alpharetta, GA

Katlyn Liley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 735 N Main St Ste 1300, Alpharetta, GA 30009 Phone: 770-580-8575 Fax: 770-415-5975
Carol Colburn Hicks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10930 Carrissa Trl, Alpharetta, GA 30022 Phone: 678-699-5258
Aastha Paresh Shah, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8400 Holcomb Bridge Rd Ste 480, Alpharetta, GA 30022 Phone: 770-640-5470 Fax: 770-640-5471
Chad R Luth, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6495 Shiloh Road, Suite 100, Alpharetta, GA 30005 Phone: 770-888-3011
Mrs. Trisha Marie Wameling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4125 N Point Pkwy, Alpharetta, GA 30022 Phone: 678-366-7700 Fax: 770-569-7706
Kirk Stewart, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3155 Northpoint Pkwy, Building D, Suite 100, Alpharetta, GA 30005 Phone: 770-844-0805
Leslie Gimbel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Founders Pkwy Ste 126, Alpharetta, GA 30009 Phone: 770-442-0727 Fax: 770-343-9607

Logan Daniel Gordon, PT, DPT - Medicare Physical Therapist in Alpharetta, GA