LOGAN BAKE – Orthopedic Physical Therapist, NPI 1407265838

LOGAN BAKE is a healthcare provider. based in Weiser, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT-3687 (ID). The NPI Number for LOGAN BAKE is 1407265838

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN BAKE
NPI
1407265838
Phone
(208) 549-1008
Address
275 E 7TH ST
Enumeration Date
11 August 2014
Last Update Date
22 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085491008
Graduation Year
2014 (12 years ago)
PAC ID
9234465196
Group Practice PAC ID
7517933484
Professional Enrollment ID
I20190730003150
Address ID
ID836722303WE275XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for LOGAN BAKE

  • 275 E 7TH ST

    WEISER, ID 836722303

    Phone: (208) 549-1008

    Fax: (208) 549-1396

    Type: Mailing

  • 1050 SW 3RD AVE

    ONTARIO, OR 979142193

    Phone: (541) 881-7330

    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: 2019-07-30

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
I20190730003150IPhysical Therapist In Private PracticeIDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,76861$0
97140Therapy procedure using manual technique, each 15 minutes69461$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17436$0
97161Evaluation for physical therapy, typically 20 minutes3939$0
97162Evaluation for physical therapy, typically 30 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 83672)

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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: 7517933484View full group profile
NameSpecialtyState
-ID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

How is LOGAN BAKE identified in CMS data?
CMS-hosted NPPES data lists LOGAN BAKE with NPI 1407265838.
Does the file indicate LOGAN BAKE is practicing under active NPI?
Directory data currently reports LOGAN BAKE as active.
What healthcare role does LOGAN BAKE hold?
Scheduling teams often label LOGAN BAKE under Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does LOGAN BAKE serve?
LOGAN BAKE's listing highlights Weiser, Idaho; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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