Logan Stephen Bannon
NPI 1003494618ActiveIndividual· Physical Therapist· Seattle, WA
Physical Therapist with Hidef Seattle,llc and 1 other group, practicing in Seattle, Washington. Medicare paid $24,418 for services to 27 patients in 2024.
Overview
| NPI | 1003494618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 2, 2021 |
| Last updated in NPPES | Apr 2, 2021 |
| Certified by provider | Apr 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 1,031 across 7 procedure codes |
| Paid by Medicare | $24,418 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Hidef Seattle,llcIssaquah, WA · 22 clinicians
- 520 Physical Therapy, LLCBellevue, WA · 7 clinicians
Other Physical Therapist providers in Seattle
- 1053466136
- 1649090176
- 1477470961
- 1134576291
- 1912245192
- 1467238519
- 1619737988
- 1346526563
- 1184140246
- 1073948378
- 1346737038
- 1568870236