Provider Demographics
NPI:1295741163
Name:POPIEL, KATHRYN LODGE (OTRL CHT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LODGE
Last Name:POPIEL
Suffix:
Gender:
Credentials:OTRL CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3483 LINCOLN HWY
Practice Address - Street 2:UNIT 2
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1014
Practice Address - Country:US
Practice Address - Phone:484-784-4158
Practice Address - Fax:610-383-1026
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0001311225X00000X
PAOC002480L225XH1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
3207843OtherAETNA PPO
050529947OtherFIRST HEALTH
050529947OtherDEVON HEALTH SYSTEMS
050529947OtherINTERGROUP
050529947OtherPRIVATE HEALTHCARE SYSTEM
2627004000OtherPERSONAL CHOICE 65
P00122385OtherMEDICARE RAILROAD
050529947OtherUNITED HEALTHCARE
2116418000OtherKEYSTONE HPE
050529947OtherSMART COMP
050529947OtherSMART COMP
2116418000OtherKEYSTONE HPE
4782050001Medicare NSC
PA087898VKFMedicare PIN
050529947OtherFIRST HEALTH
050529947OtherDEVON HEALTH SYSTEMS
DE262243Y0XMedicare PIN