Lisa Karen Dodge
NPI 1245563196ActiveIndividual· Mechanotherapist· Clear Lake, WI
Mechanotherapist in Clear Lake, Wisconsin, licensed in WI, with an NPI issued in September 2009.
Overview
| NPI | 1245563196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 10, 2009 |
| Last updated in NPPES | Sep 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Mechanotherapist Primary | 172M00000X | 3790-046 | WI |
| Point of Service | 305S00000X | 3790-046 | WI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|