Great Lakes Orthopedics Physical Therapy P.C.
NPI 1548764376ActiveOrganization· Physical Therapist· Saint John, IN
Physical Therapist in Saint John, Indiana, registered in NPPES in March 2018. The authorized official on file is Keith Pitchford, President/Ceo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1548764376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2018 |
| Last updated in NPPES | Apr 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IN) |
|---|
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