Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bo Lodge

Individual provider Physical Therapist · NPI 1912316621

Bo Lodge is a Physical Therapist in Private Practice in Cedar Falls, Iowa. Qualified in 2014, 12 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
12
Licensed in
IA
In the registry since
2014
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Practice location Address checks out

1710 W 1st St Ste D
Cedar Falls, IA 50613-1840
Phone: (319) 273-8988
Fax: (319) 273-8992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 07323 (IA)

Record details

NPI number1912316621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2014
Last updated in NPPESFebruary 20, 2019
Mailing address600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cedar Falls