KAYLEE LOGAN (DPT) – Physical Therapist, NPI 1578302410

KAYLEE LOGAN (DPT) is a healthcare provider. based in Goddard, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for KAYLEE LOGAN (DPT) is 1578302410

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KAYLEE LOGAN (DPT)
NPI
1578302410
Phone
(316) 550-6132
Address
19931 W KELLOGG DR UNIT A
Enumeration Date
21 May 2024
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
3165506132
Graduation Year
2024 (2 years ago)
PAC ID
9638617897
Group Practice PAC ID
1456578426
Professional Enrollment ID
I20240819003241
Address ID
KS670528864GO19931DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,055 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for KAYLEE LOGAN (DPT)

  • 19931 W KELLOGG DR UNIT A

    GODDARD, KS 670528864

    Phone: (316) 550-6132

    Fax: (316) 550-6215

    Mailing address matches the actual address.

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: 2024-08-19

PECOS data refreshed: 2026-06-15

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
I20240819003241IPhysical Therapist In Private PracticeKSTBD

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 67052)

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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: 1456578426View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKS
-KS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
-KS

Reviews

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Frequently asked questions

Can I cross-check KAYLEE LOGAN (DPT) using NPI 1578302410?
NPI 1578302410 belongs to KAYLEE LOGAN (DPT); compare other details if you need extra assurance.
Active or inactive — what applies to KAYLEE LOGAN (DPT)?
You should see KAYLEE LOGAN (DPT) as active in CMS-hosted NPPES data.
What area of care is associated with KAYLEE LOGAN (DPT)?
KAYLEE LOGAN (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Kansas is KAYLEE LOGAN (DPT) registered?
Use Goddard, Kansas as the headline location for KAYLEE LOGAN (DPT) here.
When was this NPI issued?
Enumeration for KAYLEE LOGAN (DPT) is noted as May 21, 2024 where the registry provides it.

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