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Lora L Sodemann

Physical Therapist in Saint Louis, MO. Individual provider (NPI-1).

NPI number1104784347
StatusActive
Last updated in NPPESJan 15, 2026

Details

NPI
1104784347
Entity type
Individual (NPI-1)
Name
Lora L Sodemann
Sex
Female
Sole proprietor
No
Enumeration date
Jan 15, 2026
Certification date
Jan 15, 2026
Last updated
Jan 15, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist01435MOYes

Practice location

6639 Winnebago St
Saint Louis, MO 63109-1246

Phone 314-708-3813

Mailing address

6639 Winnebago St
Saint Louis, MO 63109-1246

Phone 314-708-3813

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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