Individual provider Active NPI

Steven K Lawrence, PT

  • Physical Therapist
  • La Porte, IN
National Provider Identifier
1083628127
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007044A Issued in IN
Practice address
900 I St Ste 100
La Porte, IN 46350
Phone
(219) 324-1730
Fax
(219) 324-1735
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05007044A IN Primary

Addresses

Primary practice location

900 I St Ste 100
La Porte, IN 46350

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610

Other practice location 1

1815 E Ireland Rd Ste 100
South Bend, IN 46614-2845
Phone (574) 647-5790

Other practice location 2

3221 Beacon Pkwy Ste 100
Granger, IN 46530-7196
Phone (574) 647-2930

Other practice location 3

200 E Jackson Blvd Ste 150
Elkhart, IN 46516-3513
Phone (574) 389-5558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sklawrence@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000763 IN Practitioner - Physical Therapist in Private Practice 4880657634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Indiana University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Health LLCGroup PAC ID 1254690530, 32 clinicians

Practice addresses (Care Compare)

900 I St
Suite 100
La Porte, IN 46350-5533
Phone (219) 324-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05007044AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients
Beacon Health, LLC Past Accepting new patients

Locations

200 E Jackson Blvd
Ste 150
Elkhart, IN 46516
Phone (574) 389-5558

3221 Beacon Pkwy
Ste 100
Granger, IN 46530
Phone (574) 647-2930

900 I St
#100
Laporte, IN 46350
Phone (219) 324-1730

1815 E Ireland Rd
#100
South Bend, IN 46614
Phone (574) 647-5790

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: sklawrence@mybeacon.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1083628127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610",
            "fax_number": "574-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 I ST STE 100",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "46350",
            "telephone_number": "219-324-1730",
            "fax_number": "219-324-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Ireland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466142845",
            "country_code": "US",
            "telephone_number": "574-647-5790",
            "fax_number": "574-647-5792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3221 Beacon Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465307196",
            "country_code": "US",
            "telephone_number": "574-647-2930",
            "fax_number": "574-647-2935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Jackson Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465163513",
            "country_code": "US",
            "telephone_number": "574-389-5558",
            "fax_number": "574-389-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "STEVEN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007044A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sklawrence@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "900 I St Ste 100",
            "city": "LA Porte",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.