Individual provider Active NPI

Lorena Marjorie Newkirk, MSPT

  • Orthopedic Physical Therapist
  • South Bend, IN
National Provider Identifier
1689907800
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501004542 Issued in MI
Practice address
53880 Carmichael Dr
South Bend, IN 46635-1567
Phone
(574) 247-9441
NPI assigned
Sep 8, 2009
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501004542 MI Primary

Addresses

Primary practice location

53880 Carmichael Dr
South Bend, IN 46635-1567

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (800) 622-6575

Other practice location 1

5230 Beck Dr Ste 7
Elkhart, IN 46516-9059
Phone (574) 247-9441

Other practice location 2

60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone (574) 247-9441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110308000569 MI Practitioner - Physical Therapist in Private Practice 9739361031 Reassigns benefits to 1 organization
Practice locations: Berrien Springs, MI
I20201008002713 IN Practitioner - Physical Therapist in Private Practice 9739361031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC CurrentSince Aug 1, 2023 Accepting new patients
Axon Psychology Group, PC CurrentSince Dec 1, 2020 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Aug 1, 2023 Accepting new patients
Psychiatric and Psychological Specialties PastSince May 14, 2023 Accepting new patients
Alliance Physical Therapy Group LLC PastSince Mar 23, 2015 Accepting new patients

Locations

5230 Beck Dr
Ste 7
Elkhart, IN 46516
Phone (574) 274-9441

60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159

2500 Niles Rd
Ste 7
Saint Joseph, MI 49085
Phone (269) 281-0407

Interoperability endpoints

  • Direct secure messaging: lorena.newkirk.2@13070.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1689907800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "800-622-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53880 CARMICHAEL DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351567",
            "telephone_number": "574-247-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Beck Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465169059",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60160 Bodnar Blvd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465449338",
            "country_code": "US",
            "telephone_number": "574-247-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "LORENA",
        "middle_name": "MARJORIE",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501004542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.