Active NPI
Elzbieta Lodej
- Physical Therapy Assistant
- Clinton Township, MI
National Provider Identifier
1295826840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 15918 19 Mile Rd Ste 150
Clinton Township, MI 48038-1101 - Phone
- (586) 228-0240
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
15918 19 Mile Rd Ste 150
Clinton Township, MI 48038-1101
Mailing address
16802 Salerno CT
Macomb, MI 48044-4801
Phone (810) 286-2608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | MI | PTA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295826840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16802 SALERNO CT",
"city": "MACOMB",
"state": "MI",
"postal_code": "480444801",
"telephone_number": "810-286-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15918 19 MILE RD STE 150",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381101",
"telephone_number": "586-228-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODEJ",
"first_name": "ELZBIETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "N/A",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.