Individual provider Active NPI

Michael Lober, PT, DPT

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1902505449
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT210002229 Issued in DC
Practice address
25 Massachusetts Ave NW Ste C500
Washington, DC 20001-5562
Phone
(202) 808-9496
NPI assigned
Feb 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT210002229 DC Primary

Addresses

Primary practice location

25 Massachusetts Ave NW Ste C500
Washington, DC 20001-5562

Mailing address

1100 H St NW Ste LL-110
Washington, DC 20005-5476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230313002956 DC Practitioner - Physical Therapist in Private Practice 6204200363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Wellness Center for Physical Therapy and Sportscare LLCGroup PAC ID 5092970798, 14 clinicians

Practice addresses (Care Compare)

25 Massachusetts Ave NW
Suite C500
Washington, DC 20001-5562
Phone (202) 808-9496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT210002229DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC Current Accepting new patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients

Locations

25 Massachusetts Ave NW
Ste C500
Washington, DC 20001
Phone (202) 808-9496

1100 H St NW
Ste LL110
Washington, DC 20005
Phone (202) 347-2373

1100 H St NW
#110
Washington, DC 20005
Phone (202) 347-2373

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1902505449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 H ST NW STE LL-110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200055476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MASSACHUSETTS AVE NW STE C500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200015562",
            "telephone_number": "202-808-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBER",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.