Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Great Lakes Orthopedics and Sports Medicine, PC

Organization Physical Therapist · NPI 1336363266

Great Lakes Orthopedics and Sports Medicine, PC provides Physical Therapist services 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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