LOGAN BUSKE (DPT) – Pediatric Physical Therapist, NPI 1912511890

Pediatric Physical Therapist

LOGAN BUSKE (DPT) is a healthcare provider. based in Canal winchester, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT018927 (OH). The NPI Number for LOGAN BUSKE (DPT) is 1912511890

Main info

Male

6 Years Of Experience

Name

LOGAN BUSKE (DPT)

NPI

1912511890

Phone

(614) 355-8990

Address

6365 WINCHESTER BLVD

Enumeration Date

8 September 2020

Last Update Date

9 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8159011198

Graduation Year

2020 (6 years ago)

PAC ID

1254759723

Group Practice PAC ID

6406366236

Professional Enrollment ID

I20200915002403

Address ID

OH432143248CO4041XSTXX402

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience39

Completeness75

Years active:5State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for LOGAN BUSKE (DPT)

6365 WINCHESTER BLVD
CANAL WINCHESTER, OH 431102069
Phone: (614) 355-8990
Type: Location
150 W Main St
New Albany, OH 430549229
Phone: (614) 685-9425
Type: Location
26 Hospital Dr
Athens, OH 457012471
Phone: (614) 722-2200
Type: Location
1481 W Town St
Columbus, OH 432231379
Phone: (614) 722-2200
Type: Location
405 Butterfly Gardens Dr
Columbus, OH 432154985
Phone: (614) 722-2200
Type: Location
2003 W 4th St
Ontario, OH 449061865
Phone: (567) 307-6008
Type: Location
1216 Sunbury Rd
Columbus, OH 432192086
Phone: (614) 722-2200
Type: Location
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (423) 541-5492
Type: Mailing
5017 CEMETERY RD
HILLIARD, OH 430261641
Phone: (614) 819-1000
Fax: (614) 819-1001
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2200
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: 2020-09-15

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

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
I20200915002403	I	Physical Therapist In Private Practice	OH	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.

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 43110)

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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: 6406366236View full group profile