Charles R Acevedo (NPI# 1134239254, PAC ID# 1355396235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1134239254 |
| PAC ID by PECOS | 1355396235 |
| Professional Enrollment ID | I20050314000559 |
| Full Name | Charles R Acevedo |
| Organization Legal Name | LOGAN PHYSICAL THERAPY PC |
| Address |
2310 N 400 E C North Logan UT 84341-1743 |
| Phone Number | 4357525200 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1991 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2062465131 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2310 N 400 E C, North Logan, UT 84341-1743 | 4357525200 | LOGAN PHYSICAL THERAPY PC |
| 10 S 100, Suite A, Preston, ID 83263-1244 |
| Organization Legal Name | LOGAN PHYSICAL THERAPY PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Susan A Doucette | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Street Address |
2310 N 400 E C |
| City | NORTH LOGAN |
| State | UT |
| Zip | 84341-1743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Christiansen | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Ryan J Perry | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Susan A Doucette | Physical Therapy | Logan Physical Therapy PC | 2310 N 400 E C, North Logan, UT 84341-1743 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danny E Spencer | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Roger M Moczygemba | Emergency Medicine | Sterling Physician Group Pllc | 1400 N 630 E, Suite 150, Logan, UT 84341 |
| Robert P Young | Dermatology | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Heather B Allred | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Angela K Cronin | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Scott Eric Macdonald | Physician Assistant | Rocky Mountain Dermatology Inc | 1760 N 200, Suite 101, North Logan, UT 84341-1202 |
| Christopher J Morgan | Nurse Practitioner | 2150 N Main St, Suite 10, North Logan, UT 84341-1740 | |
| Kent B Whitaker | Physician Assistant | Kelly W Hubbard Md PC | 2380 N 400 E B, N Logan, UT 84341-1756 |
| Matthew J Welter | Family Medicine | Mountainstar Medical Group-cache Valley LLC | 2380 N 400, Suite A, North Logan, UT 84341-1756 |
| Gordon S Wood | Otolaryngology | Gibbons Wood and Bennion, PC. | 2380 N 400 E D, North Logan, UT 84341-1756 |
| Find all physicians in zip 84341 | |||
| City | NORTH LOGAN |
| Zip Code | 84341 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NORTH LOGAN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Charles R Acevedo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.