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

Logan Raichle

Individual provider Physical Therapist · NPI 1104609148

Logan Raichle is a Physical Therapist in Private Practice in Southport, North Carolina. Qualified in 2023, 3 years ago. Practices with Benchmark Physical Therapy of North Carolina, LLC, a 240-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

5013 Southport Crossing Way Ste 204
Southport, NC 28461-2206
Phone: (910) 604-9550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104609148
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Benchmark Physical Therapy Of North Carolina, Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southport