Logan Deros is a Physical Therapist practicing in Southbury, Connecticut. The National Provider Identifier (NPI) is #1881579043, which was assigned on August 7, 2025, and the registration record was last updated on August 7, 2025. The practitioner's main practice location is at 775 Main St S Unit 70, Southbury, CT 06488-2271; the contact telephone number is 2034376155. The primary taxonomy of Logan Deros is Physical Therapist (225100000X). Logan Deros is licensed to practice in the state of Connecticut (#15056).
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
| NPI | 1881579043 |
| Entity Type | Individual |
| Provider Name | LOGAN DEROS |
| Gender | Male |
| Practice Address |
775 Main St S Unit 70 Southbury CT 06488-2271 |
| Practice Telephone | 2034376155 |
| Mailing Address |
47 N Main St West Hartford CT 06107-1926 |
| Mailing Telephone | 8604094595 |
| Certification Date | 2025-08-07 |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 15056 | CT |
| Code | 225100000X |
| Taxonomy | Physical Therapist |
| Classification | Physical Therapist |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. |
| Notes: Source: American Physical Therapy Association [1/1/2020: definition modified] Additional resources: https://www.apta.org/PTCareers/RoleofaPT/ |
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| Street Address |
775 MAIN ST S UNIT 70 |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-2271 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alexis Noelle Mierek | 775 Main St S, Southbury, CT 06488-2271 | Pharmacist | 2025-06-04 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ivy Mariyam Thomas | 900 Main St S Ste 201, Southbury, CT 06488-2224 | Counselor | 2025-06-03 |
| The Stop & Shop Supermarket Company, LLC | 100 Main Street-North, Southbury, CT 06488 | Durable Medical Equipment & Medical Supplies | 2006-07-07 |
| Victoria Fanelli · Victoria Marino | 519 Heritage Rd Ste 1e, Southbury, CT 06488-1699 | Speech-Language Pathologist | 2020-12-13 |
| Brandi Elise Sabato | 14 Lum Lot Rd, Southbury, CT 06488-1959 | Professional Counselor | 2014-04-05 |
| Jimenez Wound Care PLLC | 91 Shane Dr, Southbury, CT 06488-2678 | Multi-Specialty Clinic/Center | 2025-08-04 |
| Redeeming Life Nutrition, LLC. | 9 Union Sq Unit 1134, Southbury, CT 06488-2204 | Nutritionist | 2025-05-28 |
| Lloydacia Stephens | 22 Depot Hill Rd, Southbury, CT 06488-2258 | Medical Physician Assistant | 2018-10-04 |
| Cj Mazzalupo | 82a Heritage Vlg, Southbury, CT 06488-1660 | Clinical Social Worker | 2018-02-09 |
| Grace Margery Budney | 77 Main St N, Southbury, CT 06488-2200 | Mental Health Counselor | 2017-11-10 |
| Todd Psychological Services, PLLC | 134 Bridle Path Rd, Southbury, CT 06488-2437 | Clinical Psychologist | 2025-01-06 |
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| Josiah Logan · Sage Logan | 7501 Penn Ave, Pittsburgh, PA 15208-2560 | Professional Counselor | 2025-07-24 |
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| Logan Makayla Hawker · Logan Davila | 1906 S Vista Ave, Boise, ID 83705-3453 | Student in an Organized Health Care Education/Training Program | 2023-10-18 |
| Nia Logan Ma · Nia Logan Bourne | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | Certified Registered Nurse Anesthetist | 2023-11-22 |
| Logan Andrews · Logan Riffle | 5675 Venture Dr, Dublin, OH 43017-2159 | Clinical Child & Adolescent Psychologist | 2022-06-14 |
| Logan Teryn Oderio · Logan Teryn Pettit | 411 Laurel St Ste A300, Des Moines, IA 50314-3030 | Physician Assistant | 2022-06-06 |
| Logan Nicole Geiken · Logan Nicole Sanford | 440 W Songer Ln, Veedersburg, IN 47987-8547 | Family Nurse Practitioner | 2025-05-29 |
| Logan Alyssa Stephens · Logan Alyssa Raulerson | 3627 University Blvd S Ste 135, Jacksonville, FL 32216-4231 | Surgical Physician Assistant | 2018-09-28 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |