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 1 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Anb-ptsma Holdings Inc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any 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	1 Years
Location	775 Main St S Unit 70, Southbury, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any 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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anb-ptsma Holdings Inc	4789572926	184

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

Aysia Starr Porter, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Main St N, Southbury, CT 06488 Phone: 959-209-4318
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: Accepting 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

Logan Deros, - Medicare Physical Therapist in Southbury, CT