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

Diane M Lodge, PT

Individual provider Physical Therapist · NPI 1083712590

Diane M Lodge, PT is a Physical Therapist in Private Practice in Summerville, South Carolina. Qualified in 1994, 32 years ago. Practices with Elite Integrated Therapy Centers LLC, a 52-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
32
Licensed in
SC
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

950 Travelers Blvd
Summerville, SC 29485-8213
Phone: (843) 832-8481
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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 2288 (SC)

Record details

NPI number1083712590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Elite Integrated Therapy Centers Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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