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

Johnathan Lawrence Logan

Individual provider Physical Therapy Assistant · NPI 1790614519

Johnathan Lawrence Logan is a Physical Therapy Assistant in Cranston, Rhode Island. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

480 Reservoir Ave
Cranston, RI 02910-1729
Phone: (410) 270-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1790614519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address480 Reservoir Ave, Cranston, RI 02910-1729

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