LOGAN O BRENNAN (OT) – Hand Occupational Therapist, NPI 1215712245

LOGAN O BRENNAN (OT) is a healthcare provider. based in Fort collins, Colorado. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT.0008280 (CO). The NPI Number for LOGAN O BRENNAN (OT) is 1215712245

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN O BRENNAN (OT)
NPI
1215712245
Phone
(970) 493-0112
Address
2500 E PROSPECT RD
Enumeration Date
28 August 2023
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704930112
Graduation Year
2023 (3 years ago)
PAC ID
5395256945
Group Practice PAC ID
0244126365
Professional Enrollment ID
I20250619001113
Address ID
CO805259718FO2500XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

426 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for LOGAN O BRENNAN (OT)

  • 2500 E PROSPECT RD

    FORT COLLINS, CO 805259718

    Phone: (970) 493-0112

    Fax: (970) 493-1794

    Type: Mailing

  • 1926 61st Ave

    Greeley, CO 806348165

    Phone: (970) 573-3224

    Fax: (970) 493-1794

    Type: Location

  • 3470 E 15th St

    Loveland, CO 805388809

    Phone: (970) 663-3975

    Fax: (970) 493-1794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250619001113IOccupational Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244126365View full group profile
NameSpecialtyState
Sports MedicineCO
Physician AssistantCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physician AssistantIN
Physician AssistantCO
Orthopedic SurgeryCO
Occupational Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physician AssistantCO

Reviews

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Frequently asked questions

Is there an official ID for LOGAN O BRENNAN (OT) in U.S. healthcare records?
The official identifier for LOGAN O BRENNAN (OT) is NPI 1215712245.
Is LOGAN O BRENNAN (OT) still an active registrant?
LOGAN O BRENNAN (OT) carries an active NPI according to the public dataset.
What clinical focus is listed for LOGAN O BRENNAN (OT)?
At a glance, LOGAN O BRENNAN (OT) is tied to Hand Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Colorado is LOGAN O BRENNAN (OT) registered?
Use Fort Collins, Colorado as the headline location for LOGAN O BRENNAN (OT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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