MR. JOHN LOGUE (NPI# 1114427234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114427234 |
| Entity Type | Individual |
| Full Name | MR. JOHN LOGUE |
| Credential | CPO |
| Practice Address |
4000 Old Court Rd Ste 105a Pikesville MD 21208-2800 |
| Mailing Address |
3800 Glen Ave Baltimore MD 21215-3530 |
| Practice Telephone | 4434874394 |
| Practice Fax Number | 2404828839 |
| Mailing Telephone | 4434874394 |
| Mailing Fax Number | 2404828839 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4000 OLD COURT RD STE 105A |
| City | PIKESVILLE |
| State | MD |
| Zip Code | 21208-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922509603 | Gait Dynamics LLC | Prosthetist | 4000 Old Court Rd Ste 105a, Pikesville, MD 21208-2800 | 2018-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210970 | Gary D. Kassimir | Orthotist | 1777 Reisterstown Rd, Suite 130, Pikesville, MD 21208-1306 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092714 | William Anthony Bolesta | Orthotist | 11 Bondi Way, Reisterstown, MD 21136-5102 | 2020-04-19 |
| 1609402973 | Deborah Merritt Plescia | Orthotist | 14325 Long Green Dr, Silver Spring, MD 20906-2077 | 2020-03-19 |
| 1265062343 | Kelvin Smith Jr. | Orthotist | 6000 Executive Blvd Ste 500, North Bethesda, MD 20852-3858 | 2020-01-17 |
| 1457878704 | Michelle Koehler | Orthotist | 100 West Rd Ste 202, Towson, MD 21204-2357 | 2017-08-28 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1366983223 | Jamie Gandert | Orthotist | 10416 Montrose Ave Apt 3, Bethesda, MD 20814-4139 | 2017-03-13 |
| 1497296537 | Benjamin Dale Fortson | Orthotist | 15200 Shady Grove Rd Ste 102, Rockville, MD 20850-3218 | 2017-03-08 |
| 1548699713 | Heather Morgan | Orthotist | 6750 Alexander Bell Dr, Suite 120, Columbia, MD 21046-2166 | 2013-11-07 |
| 1255768172 | Brian Smith | Orthotist | 209 Milford St, Suite C, Salisbury, MD 21804-7099 | 2013-10-09 |
| 1952336786 | Robert Lee Tarring Jr. | Orthotist | 610 W Joppa Rd, Towson, MD 21204-3834 | 2006-07-11 |
| Find all providers with the same taxonomy | ||||
| City | PIKESVILLE |
| Zip Code | 21208 |
Please comment or provide details below to improve the information on MR. JOHN LOGUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.