Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Logan McKenzie Widvey, PT

Individual provider Physical Therapist · NPI 1649047754

Logan McKenzie Widvey, PT is registered under Physical Therapist in Private Practice in Pierre, South Dakota. Qualified in 2022, 4 years ago. Practices with Avera St Marys, a 95-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
4
Licensed in
SD
In the registry since
2023
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

801 E Sioux Ave
Pierre, SD 57501-3323
Phone: (605) 224-3162
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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 2427 (SD)

Record details

NPI number1649047754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 8, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Avera St Marys — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Avera St Marys

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 95 clinicians in the practice; 12 are shown here.

Other providers in Pierre