Michael Thomas Rodden, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

50 S Milwaukee Ave
Suite 201
Lake Villa, IL 60046

Phone

(847) 265-3491

Fax

(847) 265-3498

NPI assigned

Oct 10, 2006

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD
• Polk Therapy LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Winter Haven, FL
  • NPI 1043233778
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699862508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W SWEET CLOVER RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "60073",
            "telephone_number": "847-546-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "60046",
            "telephone_number": "847-265-3491",
            "fax_number": "847-265-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDEN",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers-Illinois Inc (Lake Villa Dialysis)
• Revrehab, LTD.
• Nicholas Rippentrop, MS
• Adam Robinson, LCPC
• Dianne Robinson, LCSW
• Carolina Rodriguez, MSW, PEL, LSW
• Alison Rogers, PSY.D
• Maria Roman
• Kellsey L Rommelfanger, DPT
• Round Lake Beach Chiropractic, S.C.

• Physical Therapist in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Physical Therapist in Illinois

• 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.
• 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.