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

Stefan Shane Laurry, DPT

Individual provider Physical Therapist · NPI 1568338861

Stefan Shane Laurry, DPT is a Physical Therapist in South Bend, Indiana. Works from 3 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2025
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

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5230 Beck Dr Ste 7, Elkhart, IN 46516-9059 — (574) 247-9441
  • 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 — (574) 247-9441

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 99133232A (IN)

Record details

NPI number1568338861
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

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