Active NPI
Mary Lu Kot, P.T.
- Pediatric Physical Therapist
- Schererville, IN
National Provider Identifier
1841412749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 05002036A
- Practice address
- 221 US Hwy. 41
Suite G
Schererville, IN 46375 - Phone
- (219) 322-2037
- Fax
- (219) 322-9787
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 05002036A | IN | Primary |
Addresses
Primary practice location
221 US Hwy. 41
Suite G
Schererville, IN 46375
Mailing address
21 - 162ND Place
Calumet City, IL 60409
Phone (708) 862-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002036A | IN | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841412749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 - 162ND PLACE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "60409",
"telephone_number": "708-862-3423",
"fax_number": "708-862-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 US HWY. 41",
"address_2": "SUITE G",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "46375",
"telephone_number": "219-322-2037",
"fax_number": "219-322-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOT",
"first_name": "MARY",
"middle_name": "LU",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IN",
"license": "05002036A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.