Canda Lodge DPT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CANDA LODGE DPT LLC

Practice address

356 Benjamin St
Eugene, OR 97404-2804

Phone

(541) 357-3793

NPI assigned

May 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Canda C Lodge, DPTNPI 1083198873

Title

Physical Therapist

Phone

(541) 357-3793

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Canda C Lodge, DPT

  • Orthopedic Physical Therapist
  • Eugene, OR
  • NPI 1083198873
  NPD Authorized official

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1417646407",
    "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": "356 BENJAMIN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042804",
            "telephone_number": "541-357-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDA LODGE DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "LODGE",
        "authorized_official_first_name": "CANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-357-3793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Snow Campbell, THW, BIRTH DOULA
• Tamara Lavon Campbell, LMT
• Jenise Ann Campos, LPN
• Jennifer Diane Canaday
• Shirah Dawn Canaga, MA, QMHP
• Candid Medical LLC
• Johnell Canfield, QMHP
• Caden Caniano
• Jennifer Canico, M.S.
• Ruggiero S Canizares, PT

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.