GREAT LAKES ORTHOPEDICS PHYSICAL THERAPY P.C.
NPI 1548764376
Physical Therapist in Saint John, IN
About Great Lakes Orthopedics Physical Therapy P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES ORTHOPEDICS PHYSICAL THERAPY P.C. (NPI 1548764376) is a healthcare organization registered as a physical therapist in Saint John, Indiana and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Lowell and lists Keith Pitchford, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Lakes Orthopedics Physical Therapy P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Great Lakes Orthopedics Physical Therapy P.C., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Physical Therapy P.C.'s NPI number?
The NPI number for Great Lakes Orthopedics Physical Therapy P.C. is 1548764376. It was assigned to this organization in the NPPES registry on March 19, 2018.
Where is Great Lakes Orthopedics Physical Therapy P.C. located?
Great Lakes Orthopedics Physical Therapy P.C. is located at 9615 Keilman St, Saint John, IN 46373. The listed phone number is (219) 365-0220.
What is Great Lakes Orthopedics Physical Therapy P.C.'s specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Great Lakes Orthopedics Physical Therapy P.C. enrolled in Medicare?
Yes. Great Lakes Orthopedics Physical Therapy P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Lakes Orthopedics Physical Therapy P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Great Lakes Orthopedics Physical Therapy P.C.. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Orthopedics Physical Therapy P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list Great Lakes Orthopedics Physical Therapy 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 Physical Therapy P.C. was last updated on April 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Great Lakes Orthopedics Physical Therapy P.c. · NPI 1548764376
Physical Therapist organization in Saint John, Indiana. Organization record, active in the CMS NPPES registry since March 19, 2018.
## Identity
- **NPI:** 1548764376 (Entity type: Organization)
- **Enumerated:** March 19, 2018
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Organization subpart:** No
- **Authorized official:** Keith Pitchford, PRESIDENT/CEO
## Practice location
- **Address:** 9615 KEILMAN ST, Saint John, IN 46373-9406
- **Phone:** (219) 365-0220 · **Fax:** (219) 365-0226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1548764376) · Data from the CMS NPPES public registry.