Physical Therapist
LOGAN DEROS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1881579043 · enumerated 2025-08-07 · record updated 2025-08-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 47 N MAIN ST, WEST HARTFORD, CT, 06107-1926 (860) 409-4595 Google Maps Apple Maps OpenStreetMap
- Practice location 775 MAIN ST S UNIT 70, SOUTHBURY, CT, 06488-2271 (203) 437-6155 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License 15056 CT
In this directory
Locations and evidence
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Practice location
SOUTHBURY, CT, 064882271
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.