DR. LOGAN REDDY (DPT) – Physical Therapist, NPI 1912766916

DR. LOGAN REDDY (DPT) is a healthcare provider. based in Springfield, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61231005 (WA). The NPI Number for DR. LOGAN REDDY (DPT) is 1912766916

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. LOGAN REDDY (DPT)
NPI
1912766916
Phone
(540) 470-0505
Address
7310 ELGAR ST
Enumeration Date
13 March 2024
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603383901
Graduation Year
2018 (8 years ago)
PAC ID
8628419363
Group Practice PAC ID
1759278542
Professional Enrollment ID
I20240920002054
Address ID
WA985036400LA5730XSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for DR. LOGAN REDDY (DPT)

  • 7310 ELGAR ST

    SPRINGFIELD, VA 221513132

    Phone: (540) 470-0505

    Type: Mailing

  • 5730 RUDDELL RD SE STE A

    LACEY, WA 985036400

    Phone: (360) 338-3901

    Type: Location

  • 497 SW Ramsey Ave

    Grants Pass, OR 975275681

    Phone: (541) 476-1919

    Type: Location

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: 2024-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240513003816IPhysical Therapist In Private PracticeORTBD
I20240920002054IPhysical Therapist In Private PracticeWATBD

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 22151)

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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: 1759278542View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

What is the registry number for DR. LOGAN REDDY (DPT)?
The registry entry for DR. LOGAN REDDY (DPT) shows NPI 1912766916.
Quick check: is DR. LOGAN REDDY (DPT) active?
Public NPPES data shows DR. LOGAN REDDY (DPT) with an active NPI status right now.
Which specialty label fits DR. LOGAN REDDY (DPT)?
NPPES ties DR. LOGAN REDDY (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. LOGAN REDDY (DPT)?
DR. LOGAN REDDY (DPT) shows a connection to Springfield, Virginia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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