Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Logan Reddy, DPT

Individual provider Physical Therapist · NPI 1912766916

Dr. Logan Reddy, DPT is a Physical Therapist in Private Practice in Lacey, Washington. Qualified in 2018, 8 years ago. Practices with Northwest Center for Sports Medicine and Physical Therapy Inc, a 87-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia and Washington.

Years since qualifying
8
Licensed in
VA, WA
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5730 Ruddell Rd SE Ste A
Lacey, WA 98503-6400
Phone: (360) 338-3901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 497 Sw Ramsey Ave, Grants Pass, OR 97527-5681 — (541) 476-1919

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61231005 (WA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2305211938 (VA)

Record details

NPI number1912766916
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address7310 Elgar St, Springfield, VA 22151-3132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwest Center For Sports Medicine And Physical Therapy Inc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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