CMS-1500 Box 24J / 33a • NPI
1093176547
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225X00000X (CMS 67)
Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)
Box 32 Service Location & ZIP+4
1025 MARSH ST, MANKATO, MN, 56001
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1093176547 (LOGAN WILLHITE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1093176547)
Medicare Beneficiaries
90
Total Billed Services
452
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$18,135.57
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 237 |
97140 | Therapy procedure using manual technique, each 15 minutes | 23 |
97165 | Evaluation for occupational therapy, typically 30 minutes | 75 |
97535 | Training for self-care or home management, each 15 minutes | 52 |
97760 | Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1093176547 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LOGAN WILLHITE |
| Plain-English Specialty | Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: 225X00000X (Occupational Therapist) |
| Certifying / Licensing Body | National Board for Certification in Occupational Therapy (NBCOT) |
| Practice Location Address | 1025 MARSH ST, MANKATO, MN, 56001 |
| Practice Telephone / Fax | Tel: (507) 625-4031 |
| Administrative Mailing Address | 1025 MARSH ST, MANKATO, MN, 56001-4752 |
| Enumeration & Last Sync | Enumerated: 2016-03-11 | CMS Record Updated: 2020-09-18 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (225X00000X)
What Does Taxonomy Code 225X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LOGAN WILLHITE)
Typical CPT / Diagnostic Procedures:- Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
- Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics
- Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2255A2300X — Specialist/Technologist, Athletic TrainerPlain English: Licensed & Credentialed Specialist/Technologist, Athletic Trainer | State: N/A | License: Verified | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
225X00000X — Occupational TherapistPlain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) | State: MN | License: 106014 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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