Michael Charles Lofboom
NPI 1124687546ActiveIndividual· Physical Therapist· Woodbury, MN
Physical Therapist with Tria Orthopaedic Center LLC, practicing in Woodbury, Minnesota. Medicare paid $8,349 for services to 59 patients in 2024.
Overview
| NPI | 1124687546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 10, 2019 |
| Last updated in NPPES | Jul 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11449 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 375 across 8 procedure codes |
| Paid by Medicare | $8,349 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
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All 155 physical therapists in Woodbury · All physical therapists in Minnesota