Logan Harris, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bean Station, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2023 and has 3 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Jordan C Black and his current practice location is
2250 Broadway Dr Ste A1, Bean Station, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 935-8111.
Logan Harris is licensed to practice in Tennessee (license number 14775) 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 1366149809.
Healthcare Provider's Profile
| Full Name | Logan Harris |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 3 Years |
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| Location | 2250 Broadway Dr Ste A1, Bean Station, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Logan Harris attended and graduated from East Tennessee State University Quillen College Of Medicine in 2023
NPI Data:
- NPI Number: 1366149809
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345606653
- Enrollment ID: I20230511001355
Medical Identifiers
Medical identifiers for Logan Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366149809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 14775 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jordan C Black | 5890117469 | 23 |
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 Harris allows following entities to bill medicare on his behalf.
| Provider Name | Jordan C Black |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1528569316
PECOS PAC ID: 5890117469
Enrollment ID: O20200629000595 |
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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 Harris 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 |
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Logan Harris, PT, DPT
325 W Morris Blvd Ste B,
Morristown, TN 37813-2237
Ph: (423) 375-8907 | Logan Harris, PT, DPT
2250 Broadway Dr Ste A1,
Bean Station, TN 37708-2016
Ph: (865) 935-8111 |
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