Logan Deros, in Southbury, CT - Medicare Physical Therapist In Private Practice Provider

Logan Deros, is a medicare enrolled "Physical Therapist" provider in Southbury, Connecticut. He graduated from medical school in 2025 and has 0 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is 775 Main St S Unit 70, Southbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 437-6155.

Logan Deros is licensed to practice in Connecticut (license number 15056) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1881579043.

Contact Information

	Logan Deros,
	775 Main St S Unit 70, Southbury, CT 06488-2271
	(203) 437-6155
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Logan Deros
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	0 Years
Location	775 Main St S Unit 70, Southbury, Connecticut
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Logan Deros graduated from medical school in 2025

NPI Data:

NPI Number: 1881579043
Provider Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 1052811643
Enrollment ID: I20250827000385

Medical Identifiers

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

Identifier	Type	State	Issuer
1881579043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15056 (Connecticut)	Primary

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 Deros 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 Deros, 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595	Logan Deros, 775 Main St S Unit 70, Southbury, CT 06488-2271 Ph: (203) 437-6155

Reviews and Comments

Physical Therapist in Southbury, CT

Mandy Baniszewski, Physical Therapist Medicare: Medicare Enrolled Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329
Brian V Elsemore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Pomperaug Office Park, Suite 303, Southbury, CT 06488 Phone: 203-264-1735 Fax: 203-264-9251
Saira Afzal, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422
Nicole Marie Diroberto, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329
Jennifer Ruiz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329
Mrs. Donna M. Leddy, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Main St S, Suite 212, Southbury, CT 06488 Phone: 203-262-4603
Richard H Welsh Iii, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Pomperaug Office Park, Southbury, CT 06488 Phone: 203-264-1735 Fax: 203-264-9251

Logan Deros, - Medicare Physical Therapist in Southbury, CT