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Deactivated NPI 1508279860 Deactivated / Inactive NPI Male Practitioner

Michael Logozzo

Occupational Therapist • Port Orange, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Logozzo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2014
NPI Deactivation Date June 05, 2025
Total Practice Duration ~11 Years of Practice (2014 – 2025)

Professional Overview & Biography Verified Profile Summary

Michael Logozzo was a registered Occupational Therapist practicing in Port Orange, FL. Throughout an active medical career spanning 11 years, Michael Logozzo provided care at the practice location at 5535 S WILLIAMSON BLVD until profile deactivation on 2025-06-05.

Practice Location & Contact Primary Location

Practice Address

5535 S Williamson Blvd
Ste 774

Port Orange, FL 321288311

Telephone 8003307711
Associated Practice Facility / Clinic
🏢 Complete Foot Care Associates Facility NPI 1972903508

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.9 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
163 Specialists

Practicing in Port Orange, FL (8046 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License MT 3025

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 World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Grace Crumrine

Physical Therapy Assistant

NPI 1003156316
Dale Cooper

Physical Therapy Assistant

NPI 1023417771
Susan Kowalczyk

Speech-Language Pathologist

NPI 1033353842
Monique Gresham

Occupational Therapist

NPI 1033449830
Joshua Ruiz

Occupational Therapist

NPI 1033468186
Megan Christiansen

Physical Therapist

NPI 1033534359

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 05, 2025

Record deactivated on June 05, 2025

NPI Profile Active June 04, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 04, 2014

Registered at 5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 321288311 (Tel: 8003307711)

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Updated Business Mailing Address June 04, 2014

Registered at 21412 50TH AVE W, #9, MOUNTLAKE TERRACE, WA 980433323

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Provider Name / Credentials Updated June 04, 2014

Recorded as MICHAEL LOGOZZO

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2014

Occupational Therapist (License #3025 in MT)

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Initial NPI Registration & Enumeration June 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508279860
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2014
Last Update: June 04, 2014
Deactivation Date: June 05, 2025

Mailing Address

21412 50th Ave W, #9

Mountlake Terrace, WA 980433323

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.