MEDICARE: LOGAN ROCK DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1124765862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOGAN ROCK DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-8923
Fax Number	:	423-954-7399

Provider Business Practice Location Address
First Line	:	5443 PLATT SPRINGS RD STE D
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-6203
Country	:	US
Telephone Number	:	803-774-1333
Fax Number	:	803-767-4918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2022
Last Update Date	:	05/15/2022

Similar Medicare Providers

1962402701 — MICHELLE SCHUMACHER PT
Practice Location Address:

5443 PLATT SPRINGS RD STE D
LEXINGTON, SC
29073-6203

Practice Phone: 803-774-1333
Practice Fax:

1750858122 — RED BANK SMILES DENTISTRY, PC
Practice Location Address:

5443 PLATT SPRINGS RD STE F
LEXINGTON, SC
29073-6203

Practice Phone: 803-470-5067
Practice Fax: 806-470-5073

1134794563 — DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, LLC
Practice Location Address:

5443 PLATT SPRINGS RD STE D
LEXINGTON, SC
29073-6203

Practice Phone: 803-774-1333
Practice Fax: 803-767-4918

1194457085 — DR. NICOLE ROSE DUBOIS DMD
Practice Location Address:

5443 PLATT SPRINGS RD STE F
LEXINGTON, SC
29073-6203

Practice Phone: 803-470-5067
Practice Fax:

1063197861 — DR. HEATHER B HAYDEN DMD
Practice Location Address:

5443 PLATT SPRINGS RD STE F
LEXINGTON, SC
29073-6203

Practice Phone: 803-470-5067
Practice Fax:

1881480101 — ALEXANDRIA ELIZABETH BROWN OTD
Practice Location Address:

5443 PLATT SPRINGS RD STE D
LEXINGTON, SC
29073-6203

Practice Phone: 803-774-1333
Practice Fax:

Directions to “ LOGAN ROCK DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.