Physician Compare National (NPI:1689894156)

HEALTHCARE PROVIDER: TODD LOGAN STRONG PT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689894156
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981799640
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071029000294
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STRONG
	Individual professional last name
Provider First Name	TODD
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4-1579 KUHIO HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 209
	Group Practice or individual's line 2 address
City	KAPAA
	Group Practice or individual's city
State	HI
	Group Practice or individual's state
Zip Code	967461828
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y