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Logan T Mahlock

Specialist/Technologist - Athletic Trainer β€’ Orlando, FL

Active NPI 1396259867 Individual Practitioner Male Practitioner
Practice location in NPPES

4364 Scorpius St
Orlando, FL 32816

Call 4078232000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4364 Scorpius St

Orlando, FL 32816

Telephone 4078232000
Organization at the Same NPPES Address or Phone
Care First Physicians Pa Facility NPI 1134512411

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Orlando and Florida

198 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Orlando, FL (2,201 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orlando

0% of these 198 clinicians have the CMS telehealth indicator.

0% of these 198 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES TX AT7560

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Board Of Certification
2000032233

Secondary Practice Locations

4364 Scorpius St

Orlando, FL 328168035

Phone: 4078232000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Tatiana Hernandez

Student in an Organized Health Care Education/Training Program

NPI 1215422753
Diane Meadows , ARNP

Nurse Practitioner - Family

NPI 1275072142

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 04, 2018

Registered at 4364 SCORPIUS ST, ORLANDO, FL 32816 (Tel: 4078232000)

πŸ“
Updated Business Mailing Address July 04, 2018

Registered at 1 TIGER DR, MARSHALL, TX 756701412

🏒
Secondary Practice Location Registered July 04, 2018

Additional practice office at 4364 Scorpius St, Orlando, FL 328168035

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2018

Specialist/Technologist (license number reported to NPPES: TX AT7560)

βœ…
NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 20, 2017

Registered at 4364 SCORPIUS ST, ORLANDO, FL 328168035 (Tel: 4078232000)

πŸ“
Business Mailing Address (Initial Record) November 20, 2017

Registered at 4364 SCORPIUS ST, ORLANDO, FL 328162205 (Tel: 4078232000)

πŸ‘€
Provider Name / Credentials (Initial Record) November 20, 2017

Recorded as LOGAN MAHLOCK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 20, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396259867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2017
Last Update: July 04, 2018
Sole Proprietor: No

Mailing Address

1 Tiger Dr

Marshall, TX 756701412

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.