LOGAN MICHAEL RICHARD – Physical Therapist, NPI 1265195606

LOGAN MICHAEL RICHARD is a healthcare provider. based in Sioux city, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 112660 (IA). The NPI Number for LOGAN MICHAEL RICHARD is 1265195606

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN MICHAEL RICHARD
NPI
1265195606
Phone
(712) 369-3057
Address
4230 Hickory Ln Apt 124
Enumeration Date
21 October 2021
Last Update Date
9 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125461718
Graduation Year
2022 (4 years ago)
PAC ID
1658751730
Group Practice PAC ID
3375617962
Professional Enrollment ID
I20220707000429
Address ID
IA510313757LE789XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for LOGAN MICHAEL RICHARD

  • 4230 Hickory Ln Apt 124

    Sioux City, IA 511064605

    Phone: (712) 369-3057

    Type: Location

  • 646 11TH ST SW UNIT B1

    LE MARS, IA 510312562

    Phone: (712) 369-3057

    Type: Mailing

  • 789 HOLTON DR

    LE MARS, IA 510313757

    Phone: (712) 546-1718

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-07-07

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
I20220707000429IPhysical Therapist In Private PracticeIATBD

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 minutes36531$0
97140Therapy procedure using manual technique, each 15 minutes24329$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes12817$0
97530Therapy procedure using functional activities8615$0
97035Application of ultrasound, each 15 minutes2712$0
View full utilization report →

Insurance plans in this area (ZIP 51106)

Loading plans...

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: 3375617962View full group profile
NameSpecialtyState
-IA
Physical Therapist In Private PracticeIA
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
-SD
-IA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does LOGAN MICHAEL RICHARD have a public NPI I can cite?
Public records show LOGAN MICHAEL RICHARD under NPI 1265195606.
Does the public listing show LOGAN MICHAEL RICHARD as active?
LOGAN MICHAEL RICHARD's NPI record reflects an active status in NPPES.
What services align with LOGAN MICHAEL RICHARD's listing?
LOGAN MICHAEL RICHARD's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to LOGAN MICHAEL RICHARD?
The directory associates LOGAN MICHAEL RICHARD with Sioux City, Iowa. Check all listed addresses for suites or satellite offices.
Who maintains LOGAN MICHAEL RICHARD's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

100 INDIAN HILLS DRIVE
NPI: 1477557080
3930, Stadium Drive, Sioux City, Woodbury County, Iowa, 51106, United States
NPI: 1487633285

KEVIN G POSS (DPT)

Physical Therapist
South Sioux City Post Office, West 23rd Street, South Sioux City, Dakota County, Nebraska, 68776, United States
NPI: 1770563033

TIMOTHY SAULSBURY (DPT)

Physical Therapist
South Sioux City Post Office, West 23rd Street, South Sioux City, Dakota County, Nebraska, 68776, United States
NPI: 1508846874
906, Elm Street, Vermillion, Vermillion Township, Clay County, South Dakota, 57069, United States
NPI: 1760435200

Mercy Urgent Care

Family Medicine Physician
PO BOX 328
NPI: 1982644472

St. Luke's Rehab Services

Occupational Therapist
UnityPoint Health | St. Luke's, 2720, Stone Park Boulevard, Sioux City, Woodbury County, Iowa, 51104, United States
NPI: 1275575805

St. Luke's Rehab Services

Occupational Therapist
UnityPoint Health | St. Luke's, 2720, Stone Park Boulevard, Sioux City, Woodbury County, Iowa, 51104, United States
NPI: 1073555603
Sunnybrook Medical Plaza, 5885, Sunnybrook Drive, Sioux City, Woodbury County, Iowa, 51106, United States
NPI: 1962444331