Tory Lodge, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013409L Issued in PA

Practice address

110 W Wissahickon Ave
Flourtown, PA 19031-1898

Phone

(215) 248-7864

NPI assigned

Jan 9, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1821638669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 GAWAIN RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622109",
            "telephone_number": "215-738-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WISSAHICKON AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311898",
            "telephone_number": "215-248-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODGE",
        "first_name": "TORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013409L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Lewellen, MS, LPC
• Elizabeth Lewis, PT, DPT
• Ron Lewis, CSW
• Kathryn Limmer, MD
• LL Medico USA Inc (LL Medico)
• Patricia Logan, CRNA
• Nicole Longo, D.O.
• Maxine Margolies, PSYD
• Christina Marrero, MA, ATR-BC, LPC
• Steven Andrew Marshalick, PA-C

• Physical Therapist in Flourtown, PA
• Providers in Flourtown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.