GREAT LAKES ORTHOPEDICS PHYSICAL THERAPY P.C. (NPI# 1548764376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548764376 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES ORTHOPEDICS PHYSICAL THERAPY P.C. |
| Practice Address |
9615 Keilman St Saint John IN 46373-9406 |
| Mailing Address |
33900 Harper Ave Ste 104 Clinton Twp MI 48035-4258 |
| Practice Telephone | 2193650220 |
| Practice Fax Number | 2193650226 |
| Mailing Telephone | 5863502065 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | KEITH PITCHFORD (PRESIDENT/CEO) |
| Authorized Official Telephone | 2193650220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1020 E Commercial Ave, Lowell, IN 463562310 | 2196966353 | 2196966368 |
| Street Address |
9615 KEILMAN ST |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472270 | Great Lakes Orthopedics & Sports Medicine, PC | Podiatrist | 9615 Keilman St, Saint John, IN 46373-9406 | 2005-07-26 |
| 1639648322 | Mariah Nicole Isaacs | Physician Assistant | 9615 Keilman St, Saint John, IN 46373-9406 | 2018-11-26 |
| 1558613547 | Timothy Brian Williams | Physician Assistant | 9615 Keilman St, Saint John, IN 46373-9406 | 2012-10-15 |
| 1851682561 | Natasha Mandula | Podiatrist | 9615 Keilman St, Saint John, IN 46373-9406 | 2011-04-28 |
| 1659699890 | Rehabilitation & Musculoskeletal Medicine Specialist, LLC | Physical Medicine & Rehabilitation | 9615 Keilman St, Saint John, IN 46373-9406 | 2010-05-12 |
| 1346424728 | Center for Orthotic & Prosthetic Excellence, LLC | Prosthetic/Orthotic Supplier | 9615 Keilman St, Suite 200, Saint John, IN 46373 | 2007-12-20 |
| 1972521771 | Linda Kristina | Physical Therapist | 9615 Keilman St, Saint John, IN 46373-9406 | 2006-07-18 |
| 1821039389 | Richard E Mcclain | Orthopaedic Surgery | 9615 Keilman St, Saint John, IN 46373-9406 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1588918486 | Tricore Physical Therapy Inc | Physical Therapist | 8233 Wicker Ave, Saint John, IN 46373-8878 | 2012-10-31 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1932356441 | Fady Elmalh | Physical Therapist | 9150 Drake Dr, Saint John, IN 46373-9066 | 2008-08-26 |
| 1750546644 | William Mahrous Elgendi | Physical Therapist | 11628 Ventura Dr, Saint John, IN 46373-9458 | 2008-07-21 |
| 1538384748 | Eloise Penka Doran | Physical Therapist | 425 N Broadway St, Saint John, KS 67576-1833 | 2007-04-13 |
| 1588710743 | James William Rogers | Physical Therapist | 13854 State Route 23, Saint John, WA 99171-9756 | 2007-01-28 |
| 1417900457 | Incremedical, LLC | Physical Therapist | 8261 Wicker Ave, Saint John, IN 46373-8878 | 2006-05-19 |
| 1306330071 | Latrese Smith-wynn | Physical Therapist | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2018-06-18 |
| 1528558889 | John Marc Vander Veer | Physical Therapist | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2018-05-12 |
| Find all providers in SAINT JOHN | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
Please comment or provide details below to improve the information on GREAT LAKES ORTHOPEDICS PHYSICAL THERAPY P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.