GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, P.C.
NPI 1336363266
Physical Therapist in Crown Point, IN

Active since April 12, 2007
1129 MERRILLVILLE RD, CROWN POINT, IN 46307(219) 661-8008(219) 661-8998 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Lakes Orthopedics And Sports Medicine, P.c. NPPES

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

GREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, P.C. (NPI 1336363266) is a healthcare organization registered as a physical therapist in Crown Point, Indiana and active in the NPI registry since April 2007. The organization lists Keith Pitchford, Owner, as its authorized official.

NPPES Registry Identity

NPI1336363266
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameGREAT LAKES ORTHOPEDICS AND SPORTS MEDICINE, P.C.
Location Address1129 MERRILLVILLE RDCrown Point, IN 46307-2710
Mailing Address9615 Keilman StSaint John, IN 46373-9406 · (219) 661-8008 · Fax (219) 661-8998
Fax(219) 661-8998
Organization SubpartNo
Authorized OfficialKeith PitchfordOwner · (219) 365-0220
Enumeration DateApril 12, 2007
Last NPPES UpdateMarch 13, 2017
✔ NPI 1336363266 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
Licenses✔ Licensed in IN · 05006551A✔ Licensed in IN · 05004069A✔ Licensed in IN · 05007558A
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.
1129 MERRILLVILLE RD, Crown Point, IN 46307

Other Identifiers 2

Medicare UPIN199230IN
Medicare PIN199230IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Orthopedics And Sports Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20040209001009Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Great Lakes Orthopedics And Sports Medicine, P.C., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Podiatry
NPI 1851682561
756 N MAIN ST STE N
Crown Point, IN 46307
(219) 257-0255
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1952950560
118 E 90TH DR
Merrillville, IN 46410
(219) 736-2922
✔ PECOS✔ Accepts Medicare2.3 mi
Orthopedic Surgery
NPI 1568462729
9615 KEILMAN STREET
Saint John, IN 46373
(219) 365-0220
✔ PECOS✔ Accepts Medicare5.8 mi
Podiatry
NPI 1427583756
1255 LIBERTY ST
Redding, CA 96001
(530) 246-2467
✔ PECOS✔ Accepts Medicare1,819 mi

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

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 Great Lakes Orthopedics And Sports Medicine, P.C.'s NPI number?

The NPI number for Great Lakes Orthopedics And Sports Medicine, P.C. is 1336363266. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Great Lakes Orthopedics And Sports Medicine, P.C. located?

Great Lakes Orthopedics And Sports Medicine, P.C. is located at 1129 Merrillville Rd, Crown Point, IN 46307. The listed phone number is (219) 661-8008.

What is Great Lakes Orthopedics And Sports Medicine, P.C.'s specialty?

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

Is Great Lakes Orthopedics And Sports Medicine, P.C. enrolled in Medicare?

Yes. Great Lakes Orthopedics And Sports Medicine, P.C. is registered in the Medicare PECOS enrollment system.

When is Great Lakes Orthopedics And Sports Medicine, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Great Lakes Orthopedics And Sports Medicine, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Great Lakes Orthopedics And Sports Medicine, P.C., in Nurse Practitioner, Orthopedic Surgery and Podiatry. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Orthopedics And Sports Medicine, P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Great Lakes Orthopedics And Sports Medicine, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthopedics And Sports Medicine, P.C. was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.