| James Michael Logston, | |
|
6431 Mahoning Ave, Austintown, OH 44515-2039 | |
| (330) 719-6284 | |
| Not Available |
| Full Name | James Michael Logston |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6431 Mahoning Ave, Austintown, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871613281 | NPI | - | NPPES |
| 1871613281 | Medicaid | OH | |
| 2577162 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004922 (Ohio) | Primary |
| Provider Name | Logston Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1194459032 PECOS PAC ID: 7911383658 Enrollment ID: O20221003002320 |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Logston, 6431 Mahoning Ave, Austintown, OH 44515-2039 Ph: (330) 719-6284 | James Michael Logston, 6431 Mahoning Ave, Austintown, OH 44515-2039 Ph: (330) 719-6284 |
Rehabilitation Network Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3666 Mahoning Ave, Austintown, OH 44515 Phone: 330-270-7041 Fax: 330-793-3103 | |
Rebecca M Greathouse, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 Mahoning Ave, Suite G, Austintown, OH 44515 Phone: 330-755-3000 Fax: 330-755-3300 | |
Mrs. Diana Lynn Cunningham, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5533 Mahoning Ave Fl 2, Austintown, OH 44515 Phone: 330-799-0094 Fax: 330-799-8303 | |
Jennifer L Skibo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1397 S Canfield Niles Rd, Unit 1, Austintown, OH 44515 Phone: 330-953-0129 Fax: 330-953-0650 | |
Chelsea Marie Conzett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 Mahoning Ave, Suite G, Austintown, OH 44515 Phone: 330-755-3000 Fax: 330-599-7008 | |
Ms. Danielle Marie Conrad, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6006 Mahoning Ave Ste G, Austintown, OH 44515 Phone: 330-755-3000 Fax: 234-226-4201 | |
Jeremy Baker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 Mahoning Ave, Suite 201, Austintown, OH 44515 Phone: 330-755-3000 |