| Logan Smith, PT, DPT | |
|
44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 | |
| (734) 463-3007 | |
| (734) 203-0901 |
| Full Name | Logan Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 44191 Plymouth Oaks Blvd Ste 800, Plymouth, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215634316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501302333 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ethos Physical Therapy Llc | 6507235298 | 4 |
| Provider Name | Ethos Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225757719 PECOS PAC ID: 6507235298 Enrollment ID: O20221220002280 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Smith, PT, DPT 44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 Ph: (810) 853-0086 | Logan Smith, PT, DPT 44191 Plymouth Oaks Blvd Ste 800, Plymouth, MI 48170-2538 Ph: (734) 463-3007 |
Tyler Donald Bolley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9368 N Lilley Rd, Plymouth, MI 48170 Phone: 734-416-3900 Fax: 734-416-3903 | |
Eric Normand Duquette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Joel Hegeman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Emily Jean Soto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 Forest Ave Ste 1b, Plymouth, MI 48170 Phone: 734-673-8545 Fax: 734-545-8135 | |
Dorene Dudek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 248-380-6222 Fax: 248-380-6224 | |
Heather Ngo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Nathan Ikhitte, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |