MICHAEL CHARLES LOFBOOM
NPI 1124687546
Physical Therapist in Woodbury, MN

Active since June 10, 2019Accepts Medicare Assignment
155 RADIO DR, WOODBURY, MN 55125(952) 831-8742 Get Directions Write a Review

NPPES record last updated: July 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2019, Jun 10, 2019 (2 updates tracked since 2019).

About Michael Charles Lofboom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL CHARLES LOFBOOM (NPI 1124687546) is an individual physical therapist in Woodbury, Minnesota, licensed in Minnesota (11449) and active in the NPI registry since June 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1124687546
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMICHAEL CHARLES LOFBOOM
Location Address155 RADIO DRWoodbury, MN 55125-2619
Mailing Address7540 N 19th Ave Ste 200Phoenix, AZ 85021-7967 · (888) 873-4221
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 10, 2019
Last NPPES UpdateJuly 17, 20192 updates tracked since enumeration
✔ NPI 1124687546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 11449
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
155 RADIO DR, Woodbury, MN 55125

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Charles Lofboom is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719212638
PECOS Enrollment IDI20190716000500

Medicare Billing Reassignment

Medicare enrollment records show Michael Lofboom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
8100 NORTHLAND DR
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 693 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
217 services45 patients
Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
84 services16 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
28 services27 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
155 RADIO DR
WOODBURY, MN 55125
Anesthesiology (Pain Medicine)
155 RADIO DR
WOODBURY, MN 55125
Specialist/Technologist (Athletic Trainer)
155 RADIO DR
WOODBURY, MN 55125
Physical Therapist
155 RADIO DR
WOODBURY, MN 55125
Emergency Medicine (Sports Medicine)
155 RADIO DR
WOODBURY, MN 55125
Physical Therapist (Orthopedic)
155 RADIO DR
WOODBURY, MN 55125
Nurse Anesthetist, Certified Registered
155 RADIO DR
SAINT PAUL, MN 55125
Nurse Practitioner
155 RADIO DR
WOODBURY, MN 55125

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Lofboom's NPI number?

The NPI number for Michael Lofboom is 1124687546. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Michael Lofboom located?

Michael Lofboom practices at 155 Radio Dr, Woodbury, MN 55125. The listed phone number is (952) 831-8742.

What is Michael Lofboom's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Michael Lofboom enrolled in Medicare?

Yes. Michael Lofboom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Lofboom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lofboom reassigns Medicare benefits to Tria Orthopaedic Center LLC (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Lofboom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Lofboom was last updated on July 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.