LOGAN ARDEN KANODE (NPI# 1992049894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992049894 |
| Entity Type | Individual |
| Full Name | LOGAN ARDEN KANODE |
| Credential | PT, DPT, CWC |
| Practice Address |
1609 N Prince St Clovis NM 88101-4850 |
| Practice Telephone | 5054541213 |
| Practice Fax Number | 5054252798 |
| Mailing Telephone | 5759350360 |
| Mailing Fax Number | 5759350361 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT4234 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 4234 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1609 N Prince St, Clovis, NM 881014850 | 5759350360 | 5759350361 |
| Street Address |
1609 N PRINCE ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268249 | Poonam Vasant Mankar | Physical Therapist | 1609 N Prince St, Clovis, NM 88101-4850 | 2020-08-31 |
| 1497314090 | Skylar Mcmath | Physical Therapist | 1609 N Prince St, Clovis, NM 88101-4850 | 2019-06-07 |
| 1255848057 | Physical Therapy Care, LLC | Physical Therapist | 1609 N Prince St, Clovis, NM 88101-4850 | 2018-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497237 | Peregrine Performance | Physical Therapist | 126 Ranger Ct, Clovis, NM 88101-8439 | 2020-08-10 |
| 1548887193 | Tanya Katrina Samila | Physical Therapist | 4635 N Arrow Ridge Way, Clovis, CA 93619-4660 | 2020-06-30 |
| 1881227783 | William Krum | Physical Therapist | 2972 Saginaw Ave, Clovis, CA 93611-5543 | 2020-02-19 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1891353272 | Necorson Cortez | Physical Therapist | 2839 Graybark Ave, Clovis, CA 93619-3923 | 2019-05-31 |
| 1457826521 | Mooneyham Physical Therapy, Inc | Physical Therapist | 1823 Shaw Ave Ste 101, Clovis, CA 93611-4064 | 2018-10-04 |
| 1104366673 | Mel-alvin Clarin | Physical Therapist | 284 N Timmy Ave, Clovis, CA 93612-0183 | 2017-03-03 |
| 1154719987 | Sweet Hope Rojas | Physical Therapist | 439 Park Ave, Clovis, CA 93611-6848 | 2014-12-31 |
| 1467879528 | Marilyn Erb Crowder | Physical Therapist | 1865 Herndon Ave # K228, Clovis, CA 93611-6163 | 2014-03-26 |
| 1255672911 | Adam Sheppard | Physical Therapist | 6324 Ranger Rd, Clovis, CA 93619-8857 | 2013-03-06 |
| Find all providers in CLOVIS | ||||
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| 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.