Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Great Lakes Orthopedics and Sports Medicine, PC

Organization Physical Therapist · NPI 1336363266

Great Lakes Orthopedics and Sports Medicine, PC is a Physical Therapist in Crown Point, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1129 Merrillville Rd
Crown Point, IN 46307-2710
Phone: (219) 661-8008
Fax: (219) 661-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05006551A (IN)
Physical Therapist Taxonomy 225100000X · Licence 05004069A (IN)
Physical Therapist Taxonomy 225100000X · Licence 05007558A (IN)

Record details

NPI number1336363266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Pitchford — Owner · (219) 365-0220
NPI enumeratedApril 12, 2007
Last updated in NPPESMarch 13, 2017
Mailing address9615 Keilman St, Saint John, IN 46373-9406

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