Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN DEROS
ActiveLOGAN DEROS is a Physical Therapy Assistant healthcare provider located in SOUTHBURY, Connecticut. NPI 1881579043 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SOUTHBURY, CT
Registration Details
- NPI Number
- 1881579043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2025 (1.0327482704002 yrs)
- Last Updated
- Aug 7, 2025
- License
-
15056 (CT)
Practice Information
- Address
-
775 MAIN ST S UNIT 70SOUTHBURY, CT, 064882271Browse CT providers · Browse ZIP 06488
- Phone
- 2034376155
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SOUTHBURY, CT
| Name | Credential | NPI |
|---|---|---|
| MICHELLE E BEIGHAU | PT | 1881693943 |
| MRS. MICHELLE CACACE | PT | 1942297700 |
| MRS. DEBRA J MOLSICK | PT | 1306817879 |
| BRIAN V ELSEMORE | PT | 1023074309 |
| MRS. MELINDA MARIE MANGANELLO | PT, DPT | 1912950346 |
| KERRI A MCQUILLAN | PT | 1740229715 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.