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LOGAN BUSKE DPT
NPI 1912511890
Physical Therapist - Pediatrics in Canal Winchester, OH

Active since September 08, 2020
6365 WINCHESTER BLVD, CANAL WINCHESTER, OH 43110(614) 355-8990 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 9, 2025, Mar 10, 2025, Sep 8, 2020 (3 updates tracked since 2020).

About Logan Buske Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN BUSKE DPT (NPI 1912511890) is an individual pediatrics provider in Canal Winchester, Ohio, licensed in Ohio (PT018927) and active in the NPI registry since September 2020. He maintains 6 additional practice locations and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912511890
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameLOGAN BUSKECredential: DPT
Location Address6365 WINCHESTER BLVDCanal Winchester, OH 43110-2069
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2200
Phone(614) 355-8990
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 8, 2020
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1912511890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in OH · PT018927
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT018927 (OH)
6365 WINCHESTER BLVD, Canal Winchester, OH 43110
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Secondary Practice Locations 6

Location 12003 W 4th StOntario, OH 44906-1865 · Phone (567) 307-6008
Location 2405 Butterfly Gardens DrColumbus, OH 43215-4985 · Phone (614) 722-2200
Location 31481 W Town StColumbus, OH 43223-1379 · Phone (614) 722-2200
Location 41216 Sunbury RdColumbus, OH 43219-2086 · Phone (614) 722-2200
Location 526 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2200
Location 6150 W Main StNew Albany, OH 43054-9229 · Phone (614) 685-9425

Other Identifiers 1

Medicaid0417431OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Buske Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254759723
PECOS Enrollment IDI20200915002403

Medicare Billing Reassignment

Medicare enrollment records show Logan Buske reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation Redefined, LLC
16 mi
Physical Therapy
4041 N HIGH ST STE 100A
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 5 clinicians in this Medicare group
NPI 1700609047 (815) 901-1198

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH JANE SAMUELSON DPT
Physical Therapist (Pediatrics)
6365 WINCHESTER BLVD
CANAL WINCHESTER, OH 43110
Fairfield County (614) 355-8990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Buske's NPI number?

The NPI number for Logan Buske is 1912511890. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Logan Buske located?

Logan Buske practices at 6365 Winchester Blvd, Canal Winchester, OH 43110. The listed phone number is (614) 355-8990.

What is Logan Buske's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Logan Buske enrolled in Medicare?

Yes. Logan Buske is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Logan Buske's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Buske reassigns Medicare benefits to Rehabilitation Redefined, LLC (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Buske's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Buske accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Logan Buske as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Buske was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.