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

Logan Justin Appledoorn, PT

Individual provider Physical Therapist · NPI 1184370959

Logan Justin Appledoorn, PT is a Physical Therapist in Private Practice in Jackson, California. Qualified in 2021, 5 years ago. Practices with Folsom Physical Therapy and Training Center Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12150 Industry Blvd Ste 42
Jackson, CA 95642-9375
Phone: (209) 223-9410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 301768 (CA)

Record details

NPI number1184370959
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 1, 2022
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Folsom Physical Therapy And Training Center Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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