Individual provider Active NPI

Canda C Lodge, DPT

  • Orthopedic Physical Therapist
  • Eugene, OR
National Provider Identifier
1083198873
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
63685 Issued in OR
Practice address
2401 River Rd Ste 102
Eugene, OR 97404-5412
Phone
(541) 683-6187
Fax
(541) 689-4525
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42347 CA
Orthopedic Physical Therapist 2251X0800X 63685 OR Primary

Addresses

Primary practice location

2401 River Rd Ste 102
Eugene, OR 97404-5412

Mailing address

356 Benjamin St
Eugene, OR 97404-2804
Phone (541) 357-3793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002966 OR Practitioner - Physical Therapist in Private Practice 4486908944 Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42347CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Canda Lodge DPT LLC Physical Therapist CurrentSince May 7, 2023 Accepting new patients
Axis Physical Therapy & Rehab Inc Physical Therapist CurrentSince Apr 30, 2023 Accepting new patients
Womens Health Physical Therapy of Eugene, LLC PastSince Nov 1, 2018 Accepting new patients

Locations

2401 River Rd
Ste 102
Eugene, OR 97404
Phone (541) 431-0631

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1083198873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 BENJAMIN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042804",
            "telephone_number": "541-357-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RIVER RD STE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045412",
            "telephone_number": "541-683-6187",
            "fax_number": "541-689-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGE",
        "first_name": "CANDA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42347",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "63685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.