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

Logan Wicker

Individual provider Physical Therapist · NPI 1831040336

Logan Wicker is a Physical Therapist in Private Practice in Ankeny, Iowa. Qualified in 2025, 1 year ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2026
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Practice location Address checks out

1510 SW Oralabor Rd Ste F
Ankeny, IA 50023-7147
Phone: (515) 963-5550
Fax: (515) 963-5551
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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 136561 (IA)

Record details

NPI number1831040336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2026
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ankeny