KAREN LEMMON P.T..
NPI 1750472916
Physical Therapist in South Bend, IN
NPI Status: Active since September 27, 2006
Contact Information
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
Phone: (574) 233-5754
Fax: (574) 233-7406
- Individual
- Female
- Years of Experience 51
- Physical Therapist
- Accepts Insurance
- May Accept Medicare Approved Payment
About KAREN LEMMON
This page provides the complete NPI Profile along with additional information for Karen Lemmon, a provider established in South Bend, Indiana with a medical specialization in Physical Therapist and more than 51 years of experience. The healthcare provider is registered in the NPI registry with number 1750472916 assigned on September 2006. The practitioner's primary taxonomy code is 225100000X with license number 05-002821A (IN). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1750472916
- Provider Name
- KAREN LEMMON P.T..
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1005 N HICKORY RD SOUTH BEND, IN 46615
- Location Phone
- (574) 233-5754
- Location Fax
- (574) 233-7406
- Mailing Address
- 14438 COUNTY ROAD 12 MIDDLEBURY, IN 46540
- Mailing Phone
- (574) 825-5689
- Medical School Name
- OTHER
- Graduation Year
- 1975
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 05-002821A
- License State
- IN
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000178953 | OTHER (01) | IN | ANTHEM |
Medicare Participation & PECOS Enrollment Status
Karen Lemmon is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7113161605
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130924000352
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Application of mechanical traction
Application of medication using electrical current, each 15 minutes
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
Evaluation for physical therapy, typically 20 minutes
Evaluation for physical therapy, typically 30 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using manual technique, each 15 minutes
Therapy procedure using water pool to exercises, each 15 minutes
Mechanical traction is a therapy method often used to alleviate back and neck pain. It involves a special machine that gently stretches your spine, reducing pressure on your discs and nerves. This process can help improve mobility, and relieve discomfort.
This service was performed 97 times for 31 patientsThis procedure involves using a mild electrical current to help medication penetrate your skin, enhancing its effects. It's called iontophoresis and is performed every 15 minutes. It's safe, non-invasive, and can help manage various conditions.
This service was performed 119 times for 34 patientsElectrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
This service was performed 346 times for 89 patientsAn 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.
This service was performed 22 times for 22 patientsAn evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
This service was performed 79 times for 75 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 52 times for 20 patientsThis 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.
This service was performed 727 times for 126 patientsA 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.
This service was performed 1,815 times for 203 patientsThis therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 432 times for 86 patientsThis 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.
This service was performed 98 times for 11 patientsReviews for KAREN LEMMON P.T..
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 4 | 7 | 2 | 9 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 7 | 4 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 7 + 4 + 9 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1750472916 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MR. FRANCIS J MCDONALD PT
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MRS. BARBARA KNUTSON P.T.
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MRS. ERIN L BAILEY O.T.
Occupational Therapist
(Hand)
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MR. MICHAEL HENDERSON P.T.
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MRS. PAM REDFEARN P.T.
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MS. PAM WALKOWSKI P.T.A.
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MS. SARA CLARK PTA
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MS. ANNE MARIE MICINSKI ATC, LAT
Specialist/Technologist
(Athletic Trainer)
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
BRIDGET L SNIADECKI PTA
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
AMY WOLSCHLAGER PT
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
KEN MACK PTA
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
TARA SZABO PTA
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MRS. NERINGA SNYDER PTA
Physical Therapy Assistant
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
KATHRYN BLUM D.P.T.
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MR. MATTHEW LEBLANG P.T
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MCDONALD PHYSICAL THERAPY
Clinic/Center
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MR. KAES KAMMAN PT, DPT
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
NICHOLAS BUGBEE DPT
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
MARY STOLLER PT, DPT
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
DR. JEANA MARIE MARREN
Physical Therapist
1005 N HICKORY RD
SOUTH BEND, IN
ZIP 46615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750472916, enumerated as an "individual" on September 27, 2006.
The provider is located at 1005 N HICKORY RD SOUTH BEND, IN 46615 and the phone number is (574) 233-5754.
Physical Therapist with taxonomy code 225100000X.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
