LOGAN HARRIS (PT, DPT) – Physical Therapist, NPI 1366149809

LOGAN HARRIS (PT, DPT) is a healthcare provider. based in Maryville, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 14775 (TN). The NPI Number for LOGAN HARRIS (PT, DPT) is 1366149809

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
LOGAN HARRIS (PT, DPT)
NPI
1366149809
Phone
(865) 518-6791
Address
1009 Hampshire Dr
Enumeration Date
15 February 2023
Last Update Date
3 February 2026

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4234381124
Graduation Year
2023 (3 years ago)
PAC ID
0345606653
Group Practice PAC ID
5890117469
Professional Enrollment ID
I20230511001355
Address ID
TN378212930NE113XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,334 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

Provider Addresses for LOGAN HARRIS (PT, DPT)

  • 1009 Hampshire Dr

    Maryville, TN 378013525

    Phone: (865) 518-6791

    Fax: (865) 518-6794

    Type: Location

  • 325 W Morris Blvd Ste B

    Morristown, TN 378132237

    Phone: (423) 317-7772

    Fax: (423) 317-7773

    Type: Location

  • 410 N Broad St

    New Tazewell, TN 378256606

    Phone: (423) 381-8813

    Fax: (423) 254-5311

    Type: Location

  • 2250 Broadway Dr Ste A1

    Bean Station, TN 377082016

    Phone: (865) 935-8111

    Fax: (423) 822-5767

    Type: Location

  • 2041 Hamilton Pl

    Johnson City, TN 376047920

    Phone: (423) 804-1020

    Fax: (423) 317-7773

    Type: Location

  • 263 E Broadway Blvd

    Jefferson City, TN 377602810

    Phone: (865) 375-0880

    Fax: (423) 317-7773

    Type: Location

  • 113 Hedrick Dr

    Newport, TN 378212930

    Phone: (423) 438-1124

    Fax: (423) 244-0279

    Type: Location

  • 900 W MAIN ST

    ROGERSVILLE, TN 378572448

    Phone: (423) 500-5600

    Fax: (423) 317-7773

    Type: Location

  • 325 W MORRIS BLVD STE B

    MORRISTOWN, TN 378132237

    Phone: (423) 375-8907

    Fax: (423) 822-5514

    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: 2023-05-11

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
I20230511001355IPhysical Therapist In Private PracticeTNTBD

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
97530Therapy procedure using functional activities44750$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes32950$0
97140Therapy procedure using manual technique, each 15 minutes23941$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes22543$0
97016Application of blood vessel compression device21143$0
View full utilization report →

Insurance plans in this area (ZIP 37801)

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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: 5890117469View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Occupational Therapist In Private PracticeTN
Occupational Therapist In Private PracticeOR
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
-TN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
-TN
Occupational Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What unique ID ties claims to LOGAN HARRIS (PT, DPT)?
NPI 1366149809 is assigned to LOGAN HARRIS (PT, DPT) under the national enumeration system.
Is LOGAN HARRIS (PT, DPT) currently active in the NPI registry?
CMS-published data lists LOGAN HARRIS (PT, DPT) as an active registrant.
What field does LOGAN HARRIS (PT, DPT) work in?
You can think of LOGAN HARRIS (PT, DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for LOGAN HARRIS (PT, DPT)?
We surface Maryville, Tennessee for LOGAN HARRIS (PT, DPT) based on available NPPES addresses.
How can I contact LOGAN HARRIS (PT, DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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