LOGAN BOOTE – Physical Therapist, NPI 1386260446
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI
Provider Addresses for LOGAN BOOTE
225 S Main St
Brooklyn, MI 492309158
Phone: (517) 938-5980
Type: Location
1434 W Chicago Blvd
Tecumseh, MI 492868727
Phone: (517) 424-8100
Type: Location
1200 Corporate Dr
Adrian, MI 492219008
Phone: (517) 264-2790
Type: Location
1277 E Siena Heights Dr
Adrian, MI 492211755
Phone: (517) 266-3641
Type: Location
1800 W US HIGHWAY 223
ADRIAN, MI 492218439
Phone: (517) 263-3378
Fax: (517) 263-4527
Type: Mailing
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: 2020-06-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200625001976 | I | Physical Therapist In Private Practice | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1,146 | 58 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 971 | 54 | $0 |
| 97530 | Therapy procedure using functional activities | 316 | 20 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 315 | 44 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 36 | 34 | $0 |
Insurance plans in this area (ZIP 49230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI |
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