Great Lakes Physical Therapy Inc.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

GREAT LAKES PHYSICAL THERAPY INC.

Practice address

1129 Merrillville Rd
Crown Point, IN 46307-2710

Phone

(219) 661-8008

Fax

(219) 661-8998

NPI assigned

Mar 6, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tina L Gray

Title

Manager

Phone

(219) 765-8291

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1275073538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BEN DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751260",
            "telephone_number": "219-765-8291",
            "fax_number": "219-864-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MERRILLVILLE RD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072710",
            "telephone_number": "219-661-8008",
            "fax_number": "219-661-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-765-8291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Catherine Grass Black, L.C.S.W.
• Jessica Gray
• Michael Stephen Gray, PHARMD
• Alyssa Nicole Graziani, PA
• Great Lakes Orthopedics and Sports Medicine, P.C.
• Carol Gaye Green, FAMILY NURSE PRACTIT
• Zea Ashley Green
• Lakesha Greene, RBT
• Julie Ann Gregerson, MSED
• Pamela Jo Gregory, C.O.T.A.

• Orthopedic Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Orthopedic Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.