Logan Michael Richard

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265195606

Logan Michael Richard is a Physical Therapist in Private Practice in Le Mars, Iowa. Qualified in 2022, 4 years ago. Practices with Le Mars Physical Therapy, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying: 4
Licensed in: IA
In the registry since: 2021
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Le Mars, IA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

4230 Hickory Ln Apt 124, Sioux City, IA 51106-4605 — (712) 369-3057

Specialties & licences

Physical Therapist (primary)	Taxonomy 225100000X · Licence 112660 (IA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1265195606
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	October 21, 2021
Last updated in NPPES	June 9, 2022
Certification date	June 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2022 (4 years in practice)
Group practice	Le Mars Physical Therapy — 6 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount