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MS. ELIZABETH ANN LOGUE P.T.
NPI 1962539809
Physical Therapist - Geriatrics in Huntington Beach, CA

Active since February 27, 2007Accepts Medicare Assignment
121 19TH ST APT 15, HUNTINGTON BEACH, CA 92648(657) 464-9628(714) 594-3830 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Elizabeth Ann Logue P.t. NPPES

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

MS. ELIZABETH ANN LOGUE P.T. (NPI 1962539809) is an individual geriatrics provider in Huntington Beach, California, licensed in California (21503) and active in the NPI registry since February 2007. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1962539809
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameMS. ELIZABETH ANN LOGUECredential: P.T.
Location Address121 19TH ST APT 15Huntington Beach, CA 92648-3945
Mailing Address121 19th St Apt 15Huntington Beach, CA 92648-3945 · (657) 464-9628 · Fax (714) 594-3830
Phone(657) 464-9628
Fax(714) 594-3830
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 5, 2011
✔ NPI 1962539809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in CA · 21503
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
121 19TH ST APT 15, Huntington Beach, CA 92648
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Other Identifiers 1

Medicare UPINP53105CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Elizabeth Ann Logue P.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183707086
PECOS Enrollment IDI20080215000415

Medicare Billing Reassignment

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

On The Move Rehab
90 mi
Physical Therapist
69472 SERENITY RD
Cathedral City, CA 92234
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1356710925 (760) 409-6383

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 LOGUE PHYSICAL THERAPY.INC
Physical Therapist (Geriatrics)
121 19TH ST APT 15
HUNTINGTON BEACH, CA 92648
Orange County (657) 464-9628

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 Elizabeth Logue's NPI number?

The NPI number for Elizabeth Logue is 1962539809. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Elizabeth Logue located?

Elizabeth Logue practices at 121 19th St Apt 15, Huntington Beach, CA 92648. The listed phone number is (657) 464-9628.

What is Elizabeth Logue's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Elizabeth Logue enrolled in Medicare?

Yes. Elizabeth Logue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elizabeth Logue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Logue reassigns Medicare benefits to On The Move Rehab (Cathedral City, CA). 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 Elizabeth Logue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Logue was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.