P Praxis·MD
● Active Type 1 · Individual

Kimberly S Logue, OTRL

Occupational Therapist·Martinez, GA· NPI 1487719159 · Enumerated 2006 · 19 years on NPI
Logue is 1 of 25 occupational therapist providers in Martinez and 1 of 3276 in Georgia.
NPI age
19 years
Enumerated 2006-12-23
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3276 active occupational therapist providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
3737 Roscommon N
Martinez, GA 309074741
📞 7068609996fax 7068687497
Mailing address
1254 Louisville Rd
Harlem, GA 308144215
📞 7068609996fax 7068687497

Specialties

  • Occupational Therapist Primary
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    GA license #OT000986 taxonomy 225X00000X

Identifiers

TypeValueNotes
01 (GA) 339851 WELLCARE

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new occupational therapist provider has been added in Martinez in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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