| Logan Robert Nordquist, DPT | |
|
1485 E Florence Blvd Ste 105, Casa Grande, AZ 85122-4797 | |
| (520) 494-3058 | |
| (520) 214-5059 |
| Full Name | Logan Robert Nordquist |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1485 E Florence Blvd Ste 105, Casa Grande, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477111896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (Arizona) | Primary |
| Provider Name | Ati Holdings Of Arizona Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Robert Nordquist, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Logan Robert Nordquist, DPT 1485 E Florence Blvd Ste 105, Casa Grande, AZ 85122-4797 Ph: (520) 494-3058 |
Kyle Flood, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 N Camino Mercado Ste 25, Casa Grande, AZ 85122 Phone: 855-331-7522 | |
Megan L Placencia, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1828 E Florence Blvd Ste 102, Casa Grande, AZ 85122 Phone: 520-510-0360 Fax: 520-858-0174 | |
Dexter Takura Kombo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1828 E Florence Blvd Ste 102, Casa Grande, AZ 85122 Phone: 520-510-0360 | |
Ari David Goldstein, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1295 E Florence Blvd Ste 1-3, Casa Grande, AZ 85122 Phone: 520-494-3058 Fax: 520-214-5059 | |
Cory C Mckinnon, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 N Camino Mercado Ste 13, Casa Grande, AZ 85122 Phone: 520-836-8621 | |
Corey Shaun Brinton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 N Camino Mercado Ste 13, Casa Grande, AZ 85122 Phone: 520-836-8621 | |
Trevor Dickman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1828 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-510-0360 |