Michael Lodell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60603241 Issued in WA

Practice address

5522 Freeland Ave
Freeland, WA 98249-9734

Phone

(360) 331-0337

Fax

(360) 331-4294

NPI assigned

Nov 9, 2015

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Movewell Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Freeland, WA
  • NPI 1619754926

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1518330869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 FREELAND AVE",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499734",
            "telephone_number": "360-331-0337",
            "fax_number": "360-331-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 FREELAND AVE",
            "city": "FREELAND",
            "state": "WA",
            "postal_code": "982499734",
            "telephone_number": "360-331-0337",
            "fax_number": "360-331-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODELL",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60603241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063815",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Leitz, PT, DPT
• Elizabeth Lesure, LMT
• Paula Ann Lintin, PHD, LPCC, LMHC
• Brenda Lee Litke, HIS
• Katelyn Lodell, MA
• Kathryn H Luetkehans, LMHC
• Maple Ridge Retirement & Assisted Living Community LLC (Maple Ridge Retirement & Assisted Living Community)
• Patricia Joy McMahon, M.ED, MA
• Bobbi Nichole Mennella, LMP
• Arden Meyer, LSWAIC

• Physical Therapist in Freeland, WA
• Providers in Freeland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.