IndividualActive
Logan Richardson, P.T.
NPI 1124372404 · Physical Therapist · Corvallis, OR
Provider details
- NPI number
- 1124372404
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 06993 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
996 Nw Circle Blvd
Suite 101
Corvallis, OR 97330-1485
Phone: (541) 757-0878
Fax: (541) 757-0879
Street-level locationGet directions
Mailing address
16083 Sw Upper Boones Ferry Rd
Tigard, OR 97224-7736
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2013-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.