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NPISignal

Individual Healthcare Provider

Lisa Karen Dodge

NPI Record: ActiveMechanotherapist
NPI1245563196
Clear Lake, Wisconsin

Provider's NPPES record last updated: September 10, 2009

Overview

Entity Type
Individual Healthcare Provider
NPI
1245563196
Primary Specialty
Mechanotherapist
Practice Location
Clear Lake, Wisconsin
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:04 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Mechanotherapist

    Other Service Providers

    Primary

    A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

    Taxonomy code 172M00000X
  • Point of Service

    Managed Care Organizations

    This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

    Taxonomy code 305S00000X

Provider-Reported License Information

Mechanotherapist (Wisconsin)
3790-046
Point of Service (Wisconsin)
3790-046
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

571 75th St

Clear Lake, Wisconsin 54005-3819

Phone: (715) 268-9006

Record Information

Enumeration Date
September 10, 2009
Provider's NPPES Record Last Updated
September 10, 2009
NPISignal NPPES Dataset
August 2026

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