Active NPI
Dylan James Lodowski, PT
- Physical Therapist
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 207443
- Practice address
- 655 S Willow St Ste 128
Manchester, NH 03103-5723 - Phone
- (800) 995-2673
- NPI assigned
- Sep 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64685 | OR | |
| Physical Therapist | 225100000X | PT61374006 | WA | |
| Physical Therapist | 225100000X | 047543 | NY | |
| Physical Therapist | 225100000X | 207443 | AK | Primary |
Addresses
Primary practice location
655 S Willow St Ste 128
Manchester, NH 03103-5723
Mailing address
7135 Olean Rd Apt 5
South Wales, NY 14139-9725
Phone (716) 220-2024
Other practice location 1
1515 Kensington Ave
Buffalo, NY 14215-1436
Phone (716) 440-1118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 E St
Suite 100
Redding, CA 96001-0800
Phone (530) 247-1280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207443 | AK | MD | Physical Therapist |
| 047543 | NY | MD | Physical Therapist |
| 64685 | OR | MD | Physical Therapist |
| PT61374006 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Western Physical Therapy Inc | Current | Accepting new patients | |
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018
1255 East St
Ste 100
Redding, CA 96001
Phone (530) 247-1280
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Colusa, CA
- NPI 1740216332
Physical Therapist
-
- Physical Therapy Clinic/Center
- Redding, CA
- NPI 1306215850
-
- Physical Therapist
- Chico, CA
- NPI 1598632697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1972275972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 OLEAN RD APT 5",
"city": "SOUTH WALES",
"state": "NY",
"postal_code": "141399725",
"telephone_number": "716-220-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S WILLOW ST STE 128",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035723",
"telephone_number": "800-995-2673"
}
],
"practiceLocations": [
{
"address_1": "1515 Kensington Ave",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142151436",
"country_code": "US",
"telephone_number": "716-440-1118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LODOWSKI",
"first_name": "DYLAN",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-29",
"last_updated": "2023-04-05",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64685",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61374006",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "047543",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "207443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.