Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacy Mroz, DPT

Individual provider Physical Therapist · NPI 1144835414

Lacy Mroz, DPT is a Physical Therapist in Private Practice in Elkhart, Indiana. Qualified in 2020, 6 years ago. Practices with Orthopedic and Sports Medicine Center of Northern Indiana Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2310 California Rd Ste A
Elkhart, IN 46514-1228
Phone: (574) 264-0791
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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 05013924A (IN)

Record details

NPI number1144835414
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 13, 2020
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orthopedic And Sports Medicine Center Of Northern Indiana Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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